Salvage of a Limb by Ilizarov Angiogenesis - An Interesting Case Report

Surgical management of open fracture with compromised soft tissue has always remained a challenge for orthopaedic surgeons. Delayed union and non union in such patients are treated by various methods of bone grafting, vascularized pedicle graft, free fibular vascularized graft, papineau methods and Ilizarov. We are reporting an interesting case of treatment of open fracture of Tibia with soft tissue compromise treated by Ilizarov angiogenesis. In the presence of deep infections treatment of long bone fractures are often faced with the problem associated with wound healing and fracture healing. Poor wound healing and delayed fracture union can be treated by application of Ilizarov and utilizing the principle of neo angiogenesis. Increased vascularity will be favoured by application of Ilizarov wires and tensioning which will initiate aseptic inflammation. Drilling the proximal fragment in S shaped manner will improve the blood supply and enhance the chances of soft tissue and fracture healing.