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    Larana Inc.: Educational Consultancy Services

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    Elo Gonçalves
    Larana Inc. provides educational consultancy services. The document discusses various methods for treating bone fractures including open fractures of the tibia bone. It summarizes studies comparing the efficacy of and complications from an Ilizarov external fixator, AO external fixator, and intramedullary nailing. The Ilizarov apparatus was found to have the highest rate of healing fractures at 98% despite higher risks of infection, which can be managed with wound care and antibiotics.

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    Larana Inc.: Educational Consultancy Services

    Uploaded by

    Elo Gonçalves
    52 views9 pages
    Larana Inc. provides educational consultancy services. The document discusses various methods for treating bone fractures including open fractures of the tibia bone. It summarizes studies comparing the efficacy of and complications from an Ilizarov external fixator, AO external fixator, and intramedullary nailing. The Ilizarov apparatus was found to have the highest rate of healing fractures at 98% despite higher risks of infection, which can be managed with wound care and antibiotics.

    Original Title

    What is Ilizarov

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    Larana Inc. provides educational consultancy services. The document discusses various methods for treating bone fractures including open fractures of the tibia bone. It summarizes studies comparing the efficacy of and complications from an Ilizarov external fixator, AO external fixator, and intramedullary nailing. The Ilizarov apparatus was found to have the highest rate of healing fractures at 98% despite higher risks of infection, which can be managed with wound care and antibiotics.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views9 pages

    Larana Inc.: Educational Consultancy Services

    Uploaded by

    Elo Gonçalves
    Larana Inc. provides educational consultancy services. The document discusses various methods for treating bone fractures including open fractures of the tibia bone. It summarizes studies comparing the efficacy of and complications from an Ilizarov external fixator, AO external fixator, and intramedullary nailing. The Ilizarov apparatus was found to have the highest rate of healing fractures at 98% despite higher risks of infection, which can be managed with wound care and antibiotics.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 9

    Larana Inc.

    Educational Consultancy Services


    Open fracture

    Also called a compound fracture usually caused


    by high energy trauma where the bone is
    exposed to the external environment

    Tibial fractures are the most common in long


    bone in the body. An insufficient blood flow
    especially in the middle one third of its lenght
    and lack of soft tissues in antero - medial aspect
    are a predisposed factor for infection and non -
    union after open fracture.
    what is ilizarov
    An Ilizarov apparatus is an orthopedic
    device used to stimulate bone growth
    and is generally used to treat complex
    and/or open bone fractures and in cases
    of infected non-union of bones that are
    not responsive to other techniques. The
    apparatus was named after its inventor, a
    Siberian orthopedic surgeon named
    ‘Gavriil Abramovich Ilizarov’. The Ilizarov
    fixator uses the principle of distraction
    osteogenesis which refers to the pulling
    apart of bone to stimulate new bone
    growth through neovascularization.
    ao external fixator
    and intramedullary
    AO external fixator: AO meaning Arbeitsgemeinschaft für
    Osteosynthesefragen that roughly translates to working device for
    osteosynthesis fragments

    Intramedullary nailing is an internal fixation technique mainly used


    for the surgical management of long bone diaphyseal fractures and
    since more recently, also in metaphyseal and periarticular fractures.
    Complications
    Statistical analysis of AO 40%

    external fixator
    30%

    20%

    In a study made out of 42


    patients, which the mean age
    10%

    was 32 +/- 15 years, 39 patients 0%


    Wound infection Pin-tract infection Non union

    achieved healing and 3 were not Efficacy Non union


    healed by the end of the study 7%

    (non union)
    Along the study, 13 patients had
    pin-tract infection and 6
    patients had wound infection

    Healed
    93%
    8%
    Complications

    Statistical analysis of 6%

    intramedullary nailing 4%

    2%

    In a study made out of 112


    patients, which the mean age 0%
    Infection Non union

    was 36 (range of 16-88 years),


    Non union
    8%
    Efficacy
    103 achieved healing and 9 had

    non union
    6 patients had infection

    Healed
    92%
    20%
    Complications

    Statistical analysis of 15%

    Ilizarov apparatus 10%

    In a study made out of 42


    5%

    patients, 41 achieved healing 0%


    Deep infection Non union Superficial infection Chronic osteomyelitis

    and 1 had non union Non union


    2%
    Efficacy
    8 patients had deep infection, 2

    had superficial infection and 3


    had chronic osteomyelitis

    Healed
    98%
    Comparison of results
    50%

    40%

    30%

    20%

    10%

    0%
    Ilizarov AO external fixator Intramedullary nailing
    CONCLUSION

    Among the analyzed techniques, the Ilizarov apparatus proved to be the one with higher
    efficacy. Although the Ilizarov apparatus has higher incidence of infectious complications
    when compared with the intramedullary nailing, it can be managed by wound debridement
    and/or antibiotics

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