Role of Ilizarov Fixator in Non Union Humeral Shaft Fractures.
Objective: To determine the radiological and functional outcome of non union humeral shaft fractures treated with Ilizarov fixator without bone grafting.
Methods: This descriptive study was conducted in department of Orthopaedic Surgery Nishtar Hospital Multan from 2nd January 2019 to 25th December 2021. All patients with humaral shaft non unions fulfilling the inclusion criteria were treated with half pin Ilizarov fixator without bone grafting. Post operative bone results and functional results were assessed with Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System and graded as excellent, good, fair, poor and failure.
Results: In this study 30 patients were included. The mean age was 39.47±9.72 years. Male patients were 22(73.33%) and females were 8(26.66%).Right sided humeral non union was present in 17(56.66%) and left in 13(43.33%).All fractures achieved union. Excellent bone results were achieved in 19 (63.33%) patients, good in 7 (23.33%), fair in 3(10%) and poor in 1 (3.33%) patient while functional results were excellent in 20(66.66%) patients,good in 9(30%) and fair in 1(3.33%) patient as per ASAMI scoring system.
Conclusion: The application of Ilizarov ring fixator without bone grafting is an effective way of treating non union of humeral shaft fractures as shown by the excellent and good radiological and functional outcome in majority of our patients in this study.
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