Objective and clinically during follow up visits and at time of To determine the outcome of septic non-union of removal of fixator. tibia using compression and distraction technique Results with Ilizarov circular fixator in terms of infection

and clinically during follow up visits and at time of To determine the outcome of septic non-union of removal of fixator. tibia using compression and distraction technique Results with Ilizarov circular fixator in terms of infection Out of16 patients, 14 (87.5%) were male and 2 free solid union. (12.5%) were female. Mean age was 33.4 years Patients and Methods (range 23-55). Right tibia was affected in 10 This descriptive study was performed on 16 patients (62.5%) and left in 6 patients (37.5%). patients in Orthopaedic and Trauma Unit, Khyber The cause was road traffic accident in 12 patients Teaching Hospital, Peshawar and Khyber Medical (75%), fire arm injuries in 2 patients (12.5%) and Center, Peshawar, Pakistan from June, 2008 to fall in 2 patients (12.5%). Mean external fixator June, 2011. Patients of either gender with age duration was 6.2 months. Results were graded as more than 15 years with supple knee and ankle excellent in 9 patients (52.2%), good in 4 patients joints having septic non-union of tibia were (25%) and fair in 3 patients (18.7%). The included in the study. Those with age below 14 complication rate per patient was 1.3%. years and having associated comorbidities like Conclusion diabetes mellitus and immuno-insufficiency etc. By using the distraction and compression which can compound the infective non-union in technique with ilizarov external fixator, it is these patients and patients with poor vascular possible to avoid infection and achieve solid union status of the affected lower limb and those in resistant and infected cases of non-union of the requiring myocutaneous flap for coverage of diaphyseal region of tibia. (Rawal Med J wounds were excluded from the study. These 2012;37:329-333). patients were followed for two years. Outcome