A retrospective study of ilizarov fixation in infected non-union tibia: 36 cases

Rajesh Govindasamy, Ramkumar Gnanasundaram, Saravanan Kasirajan, Pajani Sengani, Jimmy J Meleppuram


Background: Infected non-union of tibia is most frequently met due to high energy trauma and it poses significant challenge to the treating orthopaedic surgeon. The aim of the study is to evaluate the clinical and functional results in treating infected non-union of tibia by Ilizarov method.

Methods: 36 patients with infected non-union of tibia with bone loss; shortening and deformity treated were retrospectively analyzed in the institution during the period of May 2010 to May 2015 were included in the study. The results were evaluated according to association for the study and application of the methods of Ilizarov (ASAMI) criteria. The Pin tract infections were assessed by Moore and Dahl Grading.

Results: The bony results were excellent in 65% patients, good in 20%, fair in 15%, and poor in nil. The functional results were excellent in 50% patients, good in 25%, fair in 15%, and poor in 10%. The most common recorded complication was pin tract infection.

Conclusions: Ilizarov ring fixator still remains an excellent treatment modality for tibial non-union as it addresses to the problems associated with it.


Tibia, Ilizarov technique, Nonunion, Infection

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