TY - JOUR AU - Shabbir, Muhammad AU - Arif, Muhammad AU - Satar, Abdul PY - 2011/10/13 Y2 - 2024/03/29 TI - DISTRACTION OSTEOGENESIS IN SEGMENTAL BONE DEFECTS IN TIBIA BY MONOAXIAL EXTERNAL FIXATOR JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 24 IS - 2 SE - Original Article DO - UR - https://jpmi.org.pk/index.php/jpmi/article/view/1054 SP - AB - <span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Objective:</p></span></span></span><p><span style="font-family: Times New Roman; font-size: x-small;"></span><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Material and Methods:</p></span></span></span><p><span style="font-family: Times New Roman; font-size: x-small;"></span><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Results:</p></span></span></span><p><span style="font-family: Times New Roman; font-size: x-small;"></span><p> </p><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><span style="font-family: Times New Roman; font-size: x-small;"><p>Conclusion:</p></span></span></span><p><span style="font-family: Times New Roman; font-size: x-small;"></span><p> </p></p><p><span style="font-family: Times New Roman; font-size: x-small;">Distraction osteogenesis can be achieved with locally made Naseer Awais fixator in non union</span><p> </p></p><p>of tibia with segmental bone loss.</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">Out of 32 patients 29 were male and 3 were female. Eighteen patients had road traffic accidents,</span><p> </p></p><p>10 fire arm injuries and 4 bomb blast injuries. Average length of bone transport was 7cm. Average</p><p>duration of fixator was 8 months and average follow up was 25 months. Eight(25%) patients had some</p><p>additional procedure in form of fibular osteotomy, fasciocutaneous flap and bone grafting. Twentyeight(</p><p>87.5%) patients had pin tract infection. Repositioning of pins was done in 18(56.25%) patients.</p><p>External fixator was changed in 10(31.25%) patients. Four patients developed mal-alignment which</p><p>required fixator resetting. Four(12.5%) patients had re-osteotomy. Five(15.62%) patients developed</p><p>persistent equinus deformity Nine(28.12%) patients had to modify their profession.</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">This descriptive study was carried out at orthopedic unit of Hayatabad Medical</span><p> </p></p><p>complex Peshawar from July 2004 to January 2007 with 32 patients of tibial non union with segmental</p><p>bone loss. Locally made "Naseer-Awais" uniplanner external fixator was applied and osteotomy</p><p>performed. Distraction started at tenth post operative day. Patients were followed fortnightly. Check</p><p>radiographs were taken on every visit. At the end of consolidation phase fixtor was removed. Results were</p><p>assessed using Association for the Study and Application of the Method of ILIZAROV (ASAMI) scoring</p><p>system.</p></p><p><span style="font-family: Times New Roman; font-size: x-small;">To evaluate the results of segmental bone transport using monoaxial external fixator in patients</span><p> </p></p><p>with non union of the tibia with segmental bone loss.</p> ER -