COMPRESSION - DISTRACTION OSTEOGENESIS WITH ILIZAROV APPARATUS IN THE TREATMENT OF TIBIAL NON-UNIONS WITH BONE DEFECTS

  • Ognen Sheshoski Special hospital for orthopedic surgery and traumatology "St. Erazmo" - Ohrid, R. North Macedonia
  • Slavcho Stojmenski University Clinic for Traumatology, Orthopaedic Diseases, Anaesthesia, Reanimation, Intensive Care and Emergency Centre – Skopje, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, R. North Macedonia
  • Nenad Atanasov University Clinic for Traumatology, Orthopaedic Diseases, Anaesthesia, Reanimation, Intensive Care and Emergency Centre – Skopje, Faculty of Medicine Ss Cyril and Methodius University in Skopje, R. North Macedonia
  • Micun Micunovic Special hospital for orthopedic surgery and traumatology "St. Erazmo" - Ohrid, R. North Macedonia
  • Slavcho Ivanoski Special hospital for orthopedic surgery and traumatology "St. Erazmo" - Ohrid, R. North Macedonia
  • Jordan Smicheski Special hospital for orthopedic surgery and traumatology "St. Erazmo" - Ohrid, R. North Macedonia
  • Hristina Chamovska Sheshoska Specialized Hospital for prevention, treatment and rehabilitation of cardiovascular diseases “St. Stefan” – Ohrid, R. North Macedonia

Abstract

Treatment of the long bones defects and non-unions are among the most challenging cases to solve in the orthopaedic surgery. In these rare and difficult cases the method of compression - distraction osteogenesis can be the only limb salvage procedure to promote healing of the bone with comprehensive approach to all aspects of the condition. Objective of this retrospective one centred study is to perform both radiological and functional evaluation of the treatment of tibial non-unions with segmental bone defects or significant axial deviation using the method of compression - distraction osteogenesis with the Ilizarov apparatus. In the period between 2006 and 2018 15 patients were surgically treated using this method (in 9 of them as an intercalary bone transport and in other 6 as a continuous distraction with correction of axial deviation). There was an average of 22.9 months from injury and all of them underwent previous surgeries with an average of 2.3/patient.  ASAMI (Association for studying and application of Ilizarov methods) scoring system was used for both radiological (bone) and functional results. Also patient’s satisfaction with the achieved results was ranked postoperatively. 80% of the patients achieved satisfactory (good and excellent) bone results and 73% satisfactory functional results. Approximately 87% of the patients were personally satisfied with the achieved results. The method of compression - distraction osteogenesis using Ilizarov apparatus proved to be effective as a limb salvage procedure with high degree of excellent and good both radiological and functional results.


Keywords: compression-distraction osteogenesis, Ilizarov, non-union, bone defect

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Published
2021-07-26
How to Cite
SHESHOSKI, Ognen et al. COMPRESSION - DISTRACTION OSTEOGENESIS WITH ILIZAROV APPARATUS IN THE TREATMENT OF TIBIAL NON-UNIONS WITH BONE DEFECTS. Journal of Morphological Sciences, [S.l.], v. 4, n. 2, p. 76-85, july 2021. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/258>. Date accessed: 29 sep. 2021.
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Articles