RISK FACTORS AFFECTING PATIENT COMPLIANCE WITH FRAME CARE IN ILIZAROV SURGERY: EXPERIENCE FROM THE DEVELOPING WORLD

Introduction Ilizarov fixator is an invaluable tool in managing complex orthopaedic problem. Many factors influence adverse events such as pin site infections and failure of treatment. Our study evaluated risk factors affecting patient compliance and unfavourable outcome of Ilizarov surgery. Materials and Methods This is a retrospective observational study conducted at LNH, Karachi over a period of 4 years. Factors affecting patient compliance towards frame care such as family income, living standard, ethnic/cultural background etc were evaluated. Outcome measures were evaluated as a result of poor frame care. T-Test was used for continuous and chi-square were used for categorical variables. Individual risk factors were evaluated using logistic regression model. Results Total 193 patients were evaluated, among them 37 (19.17%) had unfavourable outcome i.e, pin tract infections in 28(14%) and failure of treatment in 9(4.6%). Failure of treatment was noted in 4 patients who abandon treatment while amputatio...