There is discomfort after surgery, which is managed with pain medication. Most patients find the pain manageable within the first few days. The frame itself does not cause ongoing pain once the initial healing begins.

Can I walk with the frame?

In most cases, yes — walking with the frame is encouraged as part of recovery. The extent of weight-bearing depends on the specific procedure and will be guided by Dr. Hoda.

How do I care for the pins?

Pin site care is taught before discharge. It involves cleaning around each pin with saline or as instructed, and monitoring for signs of infection such as redness, swelling or discharge.

How long until the frame is removed?

This depends on the condition being treated, the amount of correction needed, and how well the bone heals. It is usually several weeks to months. Dr. Hoda will give a more specific estimate after reviewing your X-rays.

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Bone Infection (Osteomyelitis)

Written and medically reviewed by Dr. Shamsul Hoda, MBBS, D.Ortho., MS Ortho, M.Ch. Orth., Dip. Ilizarov (Kurgan) – Ilizarov & Limb Reconstruction Specialist

Last reviewed: November 2026 · About the author

Treatment of chronic bone infection by removing infected bone and reconstructing the defect using the Ilizarov method.

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What is it?

Osteomyelitis is an infection of the bone. Chronic osteomyelitis occurs when infection persists for a long time, often with dead bone and a draining sinus. Treatment requires removing all infected and dead bone, which often creates a bone defect. The Ilizarov method is used to reconstruct the defect after the infection is cleared.

Who needs it?

Chronic osteomyelitis with draining sinus
Infected non-union of fractures
Post-traumatic bone infection
Infection after orthopaedic implants
Diabetic foot with bone infection

How is it treated?

Treatment is staged. First, infected and dead bone is removed and the wound is cleaned. Antibiotic beads or cement may be placed temporarily. Once the infection is controlled, the Ilizarov frame is applied and bone transport or other reconstruction is performed to fill the defect.

What to expect

Treatment of chronic osteomyelitis is a prolonged process. Multiple procedures may be required. The frame is worn for several months. Regular wound care and monitoring are essential. The goal is to eradicate the infection and restore a functional, pain-free limb.

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Risks and Limitations

Like any surgery, this treatment carries risks. These can include pin-site infection, joint stiffness, delayed bone healing, and the need for further procedures. Results depend on age, general health, the condition being treated and following the treatment plan. Dr. Hoda will explain the risks that apply to you before you decide.

Frequently Asked Questions

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Book a consultation or send your X-rays on WhatsApp for an initial assessment.