Effectiveness of Ilizarov Ring Fixator in the Treatment of Infected Non-Union of Tibial Fractures

Aim: The aim of the present study was to assess and analyze the effectiveness of Ilizarov ring fixator in the treatment of infected nonunion in adult tibial fractures. Methods: This was a hospital-based prospective study was conducted from July 2023 to December 2024 at the Department of Orthopaedics, J.L.N. Medical College and Associated Group of Hospitals, Ajmer, Rajasthan. The study population consisted of patients presenting with infected non-union tibial fractures at the Department of Orthopaedics, JLN Medical College & Hospital, Ajmer. Results: A total of 20 patients were included in the study, with the majority falling into three age categories: less than 30 years (25%), 31–40 years (25%), and over 60 years (25%). Out of 20 patients, 17 (85%) were male and 3 (15%) were female, indicating a male predominance in the study population. Road traffic accidents were the most common cause, accounting for 90% of cases, while falls from height contributed to 10% of cases. Mid tibia fractures were the most common, observed in 40% of cases, followed by distal tibia fractures in 35% and proximal tibia fractures in 20% of patients. Segmental fractures involving both the proximal and distal tibia were seen in 5% of cases. Bone transport was not performed in 30% of patients. Among those who underwent bone transport, the most common distances were 4 cm, 8 cm, and 12 cm, each observed in 10% of cases. Bone grafting was performed in 75% of patients, while 25% did not require the procedure. Conclusion: Overall, the Ilizarov technique remains a robust and adaptable solution for complex tibial non-unions, particularly in the presence of infection. Its application, though demanding in terms of surgical expertise and patient compliance, delivers promising outcomes in terms of limb salvage, structural integrity, and functional recovery.