Interests of Ilizarov technique in limb salvage for 3 weeks old open tibia fibula fracture in low-income country: A case reports

Abstract

We aimed to report outcome of a limb salvage of 3 weeks open infected tibia fibula fracture treated by Ilizarov external fixator (IEF). A male 42-year-old male, had sustained a motorcycle accident leading to a midshaft open type IIIB comminuted tibia fibula fracture. In face of poor prognosis, after 10 days, due to inadequate wound care, the orthopedic team made a decision to amputate the leg. In the context of lack of means, the patient has been transferred to a community hospital at Kpalime, town located at 120km from Togo’s capital in other to be managed by a team of trip missionary. After three procedures and intensives wound care associated to appropriate antibiotic, the consolidation was achieved at 6 months. A year follow up showed healing without infection. Patient walked with a limp and no cane. A combination of a stronger immune system, proper external fixation with adequate compression and thorough wound care treatments allowed this patient to keep his leg and perform daily activities.