The Ilizarov method in the treatment of nonunion of the tibial pylon.
The results of the treatment of 18 cases of nonunion of the tibial pylon using the Ilizarov method are presented. The level of the nonunion was divided into A (epiphyseal, 2 cases), B (from 1 to 4 cm from the joint rima, 7 cases), and C (from 4 to 7 cm from the rima, 9 cases). Nonunion was atrophic in 12 cases, hypertrophic in 2, and infected in 4. Bone grafts were applied in 8 atrophic cases, while bone resection with transport or resection-shortening was performed in the 4 cases with infection, or resection-shortening and then lengthening in 2 cases. Consolidation was always achieved. Range of movement was very compromised in 9 cases, of which 5 initially presented with joint fracture, while another 4 had had septic complications after fracture.
Iacobellis
C
C
Clinica Ortopedica e Traumatologica, Dipartimento Specialità Medico Chirurgiche, Università degli Studi, Padova.
Lando
M
M
D000328:Adult; D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013978:Tibial Fractures / Q000601:surgery*