DOI: https://doi.org/10.36347/sjams.2025.v13i02.014

Pages: 377-385

Background: The Ilizarov method for bone transport over intramedullary nail represents a significant advancement in orthopedic surgery, particularly for managing complex long bone defects due to trauma, infection, or gap non-union. Aim of the study: The aim of this study was to assess the clinical outcomes of bone transport over intramedullary nail by Ilizarov method. Methods: This retrospective observational study was conducted in Ilizarov & Deformity Correction Unit, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR) and Private Hospital, Dhaka, Bangladesh, during the period from January 2019 to December 2024. Result: The study subjects had a mean age of 35.4 years (SD± 12.6 years), with a male: female ratio of 2.2:1. The mean defect size was 5.4 ± 1.8 cm, mostly affecting the femur (56.25%). Rush Nail was used in 31.25% of cases, Kuntscher Nail in 25%, interlocking nails in 18.75%, and Proximal Femoral and SIGN Nails in 12.5% cases. Union rate was 100%, with complications including insomnia (56.25%) pin track infections (37.50%) and joint stiffness (31.25%). Pain levels peaked on the first day post-operation, with a mean score of 7.8 ± 1.2. It reached 2.5 ± 0.9 by the seventh day (p < 0.001). ASAMI scores showed 92.75% excellent bone outcomes and 62.50% excellent functional outcomes. Conclusion: This study demonstrates the effectiveness of bone transport over intramedullary nails using the Ilizarov method in managing long-bone defects.