TY - JOUR AU - Shabir, Mohammad AU - Arif, Mohammad AU - Satar, Abdul AU - Inam, Mohammad PY - 2011/10/13 Y2 - 2024/03/28 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/1226 SP - AB - Objective: To evaluate the results of segmental bone transport using monoaxial external fixator in patients<br />with non union of the tibia with segmental bone loss.<br />Material and Methods: This descriptive study was carried out at orthopedic unit of Hayatabad Medical<br />complex Peshawar from July 2004 to January 2007 with 32 patients of tibial non union with segmental<br />bone loss. Locally made "Naseer-Awais" uniplanner external fixator was applied and osteotomy<br />performed. Distraction started at tenth post operative day. Patients were followed fortnightly. Check<br />radiographs were taken on every visit. At the end of consolidation phase fixtor was removed. Results were<br />assessed using Association for the Study and Application of the Method of ILIZAROV (ASAMI) scoring<br />system.<br />Results: Out of 32 patients 29 were male and 3 were female. Eighteen patients had road traffic accidents,<br />10 fire arm injuries and 4 bomb blast injuries. Average length of bone transport was 7cm. Average<br />duration of fixator was 8 months and average follow up was 25 months. Eight(25%) patients had some<br />additional procedure in form of fibular osteotomy, fasciocutaneous flap and bone grafting. Twentyeight(<br />87.5%) patients had pin tract infection. Repositioning of pins was done in 18(56.25%) patients.<br />External fixator was changed in 10(31.25%) patients. Four patients developed mal-alignment which<br />required fixator resetting. Four(12.5%) patients had re-osteotomy. Five(15.62%) patients developed<br />persistent equinus deformity Nine(28.12%) patients had to modify their profession.<br />Conclusion: Distraction osteogenesis can be achieved with locally made Naseer Awais fixator in non union<br />of tibia with segmental bone loss. ER -