TITLE:
Accordion Manoeuvre with Ilizarov Frame over Nail in Situ in a Case of Infected Non-Union of Femur: Discussion on Strategies: A Case Report
AUTHORS:
Ranjit Kr. Baruah
KEYWORDS:
Infected Non-Union Femur, Accordion Manoeuvre by Ilizarov over Nail in Situ
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.4 No.7,
July
29,
2014
ABSTRACT: Quiescent Type of H. Rosen & Stage 2 of C.L. Romano et al. for Infected Non Union of Femur after K-nailing (Küntscher nailing) require no debridement & removal of nail and therefore can be treated by a single stage procedure. There are a few reports of treating aseptic non-union of femur by compression alone or compression distraction over nail by Ilizarov Technique. However, no case of Infected Non-Union femur being treated by Accordion Manoeuvre with Ilizarov over nail in situ (i.e. without exchange nailing) has been reported so far. Here, we are reporting a case of Infected Non-Union following K-nailing for a fracture shaft of femur in a 15-year-old female, who was treated by this technique as a single stage procedure. An Ilizarov frame was mounted on the femur with nail in situ followed by Accordion Manoeuvre. The fracture was healed in 5.6 months with two cycles of Accordion Manoeuvre followed by rhythmic compression. There was no recurrence of infection.