The management of tibial non-union is challenging with protracted, often arduous, treatments. The purpose of this study was to assess patient-reported outcomes following treatment of tibial non-union in circular external fixators. Twenty-one patients with tibial non-unions who successfully completed treatment at a mean of 10.1 months (range 6–20) in a circular external fixator were sent questionnaires utilising the Enneking scoring system and Euroqol EQ-5D. There were 14 responses. The mean Enneking score was 58.0 % (34.3–77.1). Two patients were enthusiastic about their treatment, while three accepted but would not repeat the treatment. The Euroqol questionnaire found that 8 patients had difficulty with mobility, 10 had difficulty with usual activities and 12 had moderate pain. There was no statistically significant difference in the EQ VAS score of overall health state for treated patients compared with predicted scores for an age- and sex-matched UK population (77.7 vs 83.1, p = 0.07).
Phieffer LS, Goulet JA (2006) Delayed unions of the tibia. J Bone Joint Surg Am 88:205-216
Goulet JA, Templeman D (1997) Delayed union and nonunion of tibial shaft fractures. Instr Course Lect 46:281-291
García-Cimbrelo E, Martí-González JC (2004) Circular external fixation in tibial nonunions. Clin Orthop Relat Res 419:65-70
Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 286:241-246
Standards for the management of open fractures of the lower limb. BOA/BAPRAS guidelines (2009)
Macran S, Weatherly H, Kind P (2003) Measuring population health: a comparison of three generic health status measures. Med Care 41(2):218-231
Kind P, Hardman G, Macran S (1999) UK population norms for EQ-5D. York Centre for health economics discussion paper 172
Mahaluxmivala J, Nadarajah R, Allen PW, Hill RA (2005) Ilizarov external fixator: acute shortening and lengthening versus bone transport in the management of tibial non-unions. Injury 36(5):662-668
Hosny G, Shawky MS (1998) The treatment of infected nonunion of the tibia by compression-distraction techniques using the Ilizarov external fixator. Int Orthop 22(5):298-302
Dujardyn J, Lammens J (2007) Treatment of delayed union or non-union of the tibial shaft with partial fibulectomy and an Ilizarov frame. Acta Orthop Belg 73(5):630-634
Brinker MR, O'Connor DP (2007) Outcomes of tibial nonunion in older adults following treatment using the Ilizarov method. J Orthop Trauma 21(9):634-642
Rozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S (2008) Repair of tibial nonunions and bone defects with the Taylor Spatial Frame. J Orthop Trauma 22(2):88-95
Foster PA, Barton SB, Jones SC, Morrison RJ, Britten S (2012) The treatment of complex tibial shaft fractures by the Ilizarov method. J Bone Joint Surg Br 12:1678-1683. doi:10.1302/0301-620X.94B12.29266
Saw A, Chua YP, Hossain G, Sengupta S (2012) Rates of pin site infection during distraction osteogenesis based on monthly observations: a pilot study. J Orthop Surg (Hong Kong) 20(2): 181-184
Martin L, Farrell M, Lambrenos K, Nayagam D (2003) Living with the Ilizarov frame: adolescent perceptions. J Adv Nurs 43(5):478-487