"Accordion maneuver with Ilizarov” Regeneration process in managemet of non-union, hyporegeneration and infection with kept failure implant in situ: a research article

Introduction: Accordion Maneuver is the “Bloodless Stimulation” of bone healing described by Professor G. A. Ilizarov. It converts biologically inactive tissue into capable neo-osteogenesis. The suggested management non-union, hypo-regeneration and infection with implant failure a single stage procedure minimal or no debridement if provide sufficient stability it placed in situ. Purpose study: this study to evaluates clinical efficacy highlights their relevance AM Ilizarov present future orthopedics practice. Methodology: This retrospective 3 years from 2019 2021. Apply patient’s failure. Patients included ≥18 years, intra-articular fractures are excluded. Total patient 7. Patient`s age 19-62 years. There were 5 male 2 female patients. Affected bones tibia-3, femur-2, humerus-1 radius & ulna-1. Causes fall infection. Final diagnosis was broken implant-2, bending quiescent type infected non-union-1, poly-trauma -1 -3. Primary fixation done ILIMN DCP 4 cases. We follow Baruah Patowary protocol all Summary: After 3-7 months up, according ASAMI score, there excellent good outcomes. As per Paley`s classification, cases found shortening angulation deformity. successfully managed Ilizarov, kept Conclusion: pursue situ, as for treatment patients very results. So, may an ultimate those helpless conditions.