Title

Ilizarov ring fixation outcome in infected tibial non-union: A report

Authors

Rakesh Kumar^1,*, Virendra Kumar², A.K Verma³, Lanuakum Pongen³, Utkarsh Maurya³ & Kuldeep Kumar Ahirwar³ & Sujeet Kumar Chaudhhary⁴

Affiliation

¹Department of Orthopaedic Surgery, Post Graduate Institute of child Health, Noida, Gautam Buddha Nagar, Uttar Pradesh, India; ²Department of Orthopaedic, Dr. BS kushwaha Institute of Medical Sciences, Kanpur, Uttar Pradesh, India; ³Department of Orthopaedics, MLN Medical College, Prayagraj, Uttar Pradesh, India; ⁴Department of Orthopaedic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India; *Corresponding author

Email

Rakesh Kumar - E-mail: rakeshgupta559@gmail.com
Virendra Kumar - E-mail: virendrapandey775@gmail.com
A.K Verma - E - mail: akvortho@gmail.com
Lanuakum Pongen - E-mail: lanuakumpongen@gmail.com
Utkarsh Maurya - E-mail: utkarsh.maurya@hotmail.com
Kuldeep Kumar Ahirwar -E-mail: kumarkuldeep54321@gmail.com
Sujeet Kumar Chaudhary- E-mail: skchaudhary404@gmail.com

Article Type

Research Article

Date

Received August 1, 2026; Revised August 31, 2026; Accepted August 31, 2026, Published August 31, 2026

Abstract

Infected non-union of tibial fractures, particularly following open injuries, remains challenging and the Ilizarov technique permits simultaneous infection control and bone reconstruction. In this prospective study of 32 patients followed for 9 months, treatment outcomes were assessed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. Radiological outcomes were excellent or good in 87.7% of patients, while functional outcomes were excellent or good in 81.3%; complications occurred in 56.2%, with joint stiffness, pain, limb-length discrepancy and reinfection being the most frequent. Severe open fractures, positive cultures and the need for additional procedures were significantly associated with complications. The Ilizarov ring fixator therefore provides an effective limb-reconstruction strategy for infected tibial non-union, although complication rates remain substantial and may adversely affect functional recovery.

Keywords

Infected non-union tibia; Ilizarov ring fixator; association for the study and application of methods of ilizarov (ASAMI) criteria

Citation

Kumar et al. Bioinformation 22(8): 5319-5324 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.