scholarly journals Comparative study on intramedullary nailing versus AO external fixation in the management of gustilo type II, IIIA, and IIIB tibial shaft fractures.

2020 ◽  
Vol 27 (06) ◽  
pp. 1199-1205
Author(s):  
Khawand Bukhsh Umrani ◽  
Zamir Hussain Tunio ◽  
Mohammad Aslam Mengal ◽  
Abdul Hafeez Qureshi ◽  
Parvez Ahmed ◽  
...  
Keyword(s):  
Comparative Study ◽  
External Fixation ◽  
External Fixator ◽  
Type Ii ◽  
Tibial Shaft ◽  
Interlocking Nail ◽  
Type Iiia ◽  
Type Iiib ◽  
Diaphyseal Fractures ◽  
Tibial Shaft Fractures

Objectives: To compare the external fixator and unreamed interlocking nail in treating Gustilo type II, type IIIA, and type IIIB tibial diaphyseal fractures regarding complications. Study Design: Cross-Sectional and Comparative Study. Setting: Department of Orthopaedic Surgery and Traumatology (DOST) Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad. Period: Two years February 2016 to January 2018. Material & Methods: 40 cases of open tibia fractures in Patients of Gustilo type II, type IIIA, and type IIIB tibial diaphyseal fractures were included. The data were analyzed using the statistical program SPSS version 16.0. Results: A total of 23 cases were treated by external fixator and 22 cases were treated by unreamed solid interlocking nail. A total of 14 cases, that is, 31% showed delayed union. Type II injury 3/15 = 20%; Type IIIA injury 6/22 = 27.3%; Type IIIB injury it is -5/8 = 12.5%. For cases treated with unreamed nail, it was 22.7%; external fixator was 39.1% among 45 cases, 05 cases showed nonunion. For cases treated with unreamed nail, it was 13.6%; external fixation was 8.7%. The overall rate of eep infection is 11.1%. The rate in interlocking nail was 13.6%, and external fixation was 8.7%. Reoperation in the form of dynamization and bone graft application after 20 weeks in unreamed nail was 36.4%, whereas in external fixation the rate was high, almost 48%. The average time of union with unreamed interlocking was about 25.4 weeks, wherein external fixation it was 28.6 weeks. Conclusion: External fixators are a good and reliable method of stabilization of Gustilo type II, type IIIA, and type IIIB tibial diaphyseal fractures, unreamed interlocking intramedullary nail yields better results in treating Gustilo type II and type IIIA tibial shaft fractures.

scholarly journals Treatment of Open Tibial Fracture by Ilizarov External Fixator versus Unreamed Interlocking Nail

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M H Fayed ◽  
M A Alkersh ◽  
A E Eldesouky
Keyword(s):  
Clinical Outcome ◽  
External Fixation ◽  
External Fixator ◽  
Tibial Fracture ◽  
Open Fractures ◽  
Open Tibial Fracture ◽  
Tibial Shaft ◽  
Ilizarov External Fixator ◽  
Interlocking Nail ◽  
Tibial Shaft Fractures

Abstract The objective of this study is to compare the radiographic results and clinical outcome of unreamed tibial nailing (UTN) and Ilizarov external fixation (IEF) for the treatment of open fractures of the tibia. Patients with open tibial shaft fractures were treated with an IEF or UTN. Both groups were compared for union time, nonunion, infections, mechanical failure of the implant, and malunion. We searched numerous sources and eventually included studies, totaling participants.

scholarly journals EXTERNAL FIXATOR;

2013 ◽  
Vol 20 (04) ◽  
pp. 600-605
Author(s):  
ROOHULLAH JAN ◽  
ZAHID ASKAR ◽  
JAVED IQBAL
Keyword(s):  
Body Weight ◽  
External Fixation ◽  
External Fixator ◽  
Weight Bearing ◽  
Functional Results ◽  
Type Ii ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures ◽  
Full Body

Introduction: Open Tibial shaft fractures are one of the most common fractures of long bones. External fixation is methodof choice for the treatment of open tibial shaft fractures. The subcutaneous location of tibia makes it suitable for the application of externalfixator. Patients and Methods: This study was done on 50 patients at Orthopaedics and Trauma unit “B” at Khyber Teaching Hospital,Peshawar, from Jan 2008 to Feb. 2009 to determine functional outcome of A.O. external fixator in open tibial fractures in terms of knee andankle mobility, pain and gait on full body weight bearing. The data of all patients was entered in standardized proforma and analyzed onSPSS 10. Results: There were 43 (86%) males and 7 (14%) females. There were 17 (34%) type-II and 20 (40%) type IIIA and 13 (26%)type III B fractures. Knee mobility was full (100%) in 49 (98%) cases, 75% in 1(2%). 43 (86%) cases retained 100% ankle joint mobilitywhile it was 75% in 4 (8%), 50 % in 2 (4%) cases and 25 % in 1(2%) cases. On full body weight bearing, 42(84%) patients were pain free,and moderate pain was in 4(8%) cases. In 42(84%) cases the gait was completely normal on full body weight bearing while 3(6%) casesshowed significant limping. Conclusion: The excellent functional results in our series show that external fixation of tibia is safe andeffective in terms of restoring functions of tibia.

scholarly journals External skeletal fixation of the tibial shaft fractures

2005 ◽  
Vol 62 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Sasa Milenkovic ◽  
Milorad Mitkovic ◽  
Mile Radenkovic
Keyword(s):  
External Fixation ◽  
External Fixator ◽  
Weight Bearing ◽  
Early Mobilization ◽  
Tibial Shaft ◽  
Closed Fracture ◽  
Early Weight Bearing ◽  
Shaft Fractures ◽  
Pin Tract Infection ◽  
Tibial Shaft Fractures

Aim. To present the possibility of a successful use of external skeletal fixation in treating the open and closed tibial shaft fractures with Mitkovic?s external fixator. Methods. External fixation was used in 115 patients with 118 fresh tibial shaft fractures, 82 males (71.3%) and 33 females (28.7%), average age 43.92 years (16?84). Open tibial shaft fractures were present in 37 (31.36%). All the fractures were treated with Mitkovic?s external fixator type M 20. Results. The results of external fixation were excellent or good in 94.07% of the cases, and bad in 5.08%. Pin tract infection appeared in 7 (5.93%) patients. In only 3 cases an external fixator was removed and treatment continued with the functional braces. Nonunion occurred in 6 (5.08%) patients, of which 4 were with open fractures (2 Gustilo type IIIB, 1 Gustilo type IIIA, 1 Gustilo type II) and 2 with the segment fractures. Compartment syndrome was observed in 1 (0.85%) patient with closed fracture. Malunion was found in 2 (1.69%) patients. Conclusion. External fixation of tibial shaft fractures is a simple and effective method to enable the safe healing of fractures, early mobilization of the patients, early weight-bearing, as well as early rehabilitation. Fixation of tibial shaft fractures was unilateral with convergent pins orientation, and there was also a possibility of compression and distraction.

scholarly journals OPEN TIBIAL SHAFT FRACTURES

2018 ◽  
Vol 21 (04) ◽  
pp. 654-658
Author(s):  
Muhammad Imran Khan ◽  
Muhammad Saqib ◽  
Waqar Alam
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
External Fixator ◽  
Clinical Results ◽  
Late Complications ◽  
Tibial Shaft ◽  
Union Rate ◽  
Shaft Fractures ◽  
Tibia Fractures ◽  
Tibial Shaft Fractures

Objective: The purpose of the study was to evaluate the clinical results afteroperative treatment of open tibia fractures (grade IIIA/B) with external fixator. Material andmethods: 25 patients with open fractures of the tibial diaphysis, classified as type III A and B,according to the Gustilo classification, were operatively treated in Agency Headquarter HospitalLandikotal. All the patients were treated with an external fixator. The time of the union of thefracture, problems with the union (malunion and nonunion), infection were examined astreatment outcome. Late complications and their treatment was not the object of the study. Thefollow-up period was at least 8 months. Result: The end results of the external fixation of 25 tibialshaft fractures, 18 (72%) men and 7 (28%) women, average age 37.7 (16-65). The union rate was83%. Nonunion rate was 12%. And malunion rate was 5% (fig-I). Fifteen patients had Gustilo typeIIIA injury while 10 patients had type IIIB injury (fig-II). Pins tract infection rate was 10%. Theaverage time of fractures healing was 28.5 weeks (15-22). There were 3 cases with woundinfection and no sequestrum formation. Conclusions: External fixation is a simple and effectivemeans of treating all types of open tibial shaft fractures

Treatment of comminuted tibial shaft fractures in four dogs with the use of interlocking nail connected with type I external fixator

2012 ◽  
Vol 15 (4) ◽  
pp. 661-666
Author(s):  
A. Piórek ◽  
Z. Adamiak ◽  
M. Jaskólska ◽  
Y. Zhalniarovich
Keyword(s):  
External Fixator ◽  
Healing Process ◽  
Clinical Treatment ◽  
Bone Union ◽  
Type I ◽  
Tibial Shaft ◽  
Interlocking Nail ◽  
Fracture Stabilization ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

AbstractThe treatment of comminuted tibial shaft fractures in canine patients is burdened by significant risk which involves bone healing complications, such as delayed bone union. Complications may result from iatrogenic damage to blood vessels during fracture stabilization. To minimize this risk, treatment methods increasingly often rely on the concept of biological osteosynthesis. One of such methods involves the treatment of fractures with the use of new hybrid fixator consisted of an interlocking nail connected with type I external fixator. Connection of the nail with external fixator has been recently developed to maximize treatment efficiency. This manner of stabilization increases bone-fixator construct strength on forces acting in the place of fracture. It also enables fracture fixation with minimal damage of the blood supply of bone fragments. This article describes surgical procedure of stabilization of comminuted tibial bone fractures in four dogs by the use of interlocking nail connected with external fixator type I, discusses and evaluates the results of clinical treatment with the involvement of the said fixator. To control bone consolidation process the radiograms were taken in 6 and 8 week of healing.In all cases, the reviewed methods of clinical treatment were successful in producing bone union after eight week of healing. During the whole period of observations no complication was observed. In all cases the intramedullary nail were left in the medullary canal after the healing process was finished. The fixator supported quick restoration of limb function after treatment.

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