Infected Gap Non-Union of Lower Tibia, Fidelity by Ilizarov Technique

41 patients with a distal tibial infected non-union treated by Ilizarov technique from 2000 to 2015. Patients with aseptic non unions of distal tibia were excluded. Mean age of patient was 25.5 years (10-70). 35 were male and 6 were female. Mean size of distal fragment was 5 cm (2-9). Active infection, drainage or a large open wound was seen in 29 patients, 13 presented with implant removal. All patients had at least 3 olive wires that fixed the distal tibia and fibula and we never used the half pins. The fundamental principles of Ilizarov methodology is load and motion. With biocompatible Ilizarov wires the patient can bear the full load day after the surgery. We did not perform any acute compression at the non-union site as has been described by several authors [2,3]. We strictly followed the Ilizarov principles that means everything must be done gradually.