The Results of Surgical Treatment Using Ilizarov's Methods
Keywords:
methods, treatmentAbstract
Posttraumatic pseudarthrosis of the tibia is a persisting nonunion observed 6–8 months following the tibial fracture [1]. A lack of callus formation between bone fragments results in pain, deformity, and pathological mobility in the limb. The estimated proportion of disturbed tibial union is 2.5–11% of all tibia fractures, which is the highest percentage in all long bones [1–4].There have been a number of reported factors that predispose to bone healing disturbances. These factors include inadequate bone-fragment stabilization, impaired bone perfusion due to periosteal damage, associated soft tissue loss, and wound contamination (resulting in injury site infection). Moreover, the groups of patients at a higher risk of disturbed bone healing also include diabetics, patients undergoing corticosteroid treatment, smokers, and patients with alcohol dependence [5, 6].
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