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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_13 | Pages 18 - 18
1 Jun 2017
Ferguson J Nagarajah K Stubbs D McNally M
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Aims

To investigate a treatment algorithm of various Ilizarov methods in managing infected tibial non-union.

Patients and Methods

A consecutive series of 76 patients with infected tibial non-union were treated with one of four Ilizarov protocols, consisting of; monofocal distraction (25 cases), monofocal compression (18), bifocal compression/distraction (16) and bone transport (17). Median duration of non-union was 10.5 months (range 2–546 months). All patients underwent at least one previous operation, 36 had associated limb deformity and 49 had non-viable non-unions. Twenty-six cases had a new muscle flap at the time of Ilizarov surgery and 24 others had pre-existing flaps.