scholarly journals Evaluation of the comparative results of ender’s nailing and AO type external fixator in the management of open fractures of the tibial shaft. (Gustilo type II, type IIIA and type IIIB): A comparative study

2021 ◽  
Vol 5 (3) ◽  
pp. 82-88
Author(s):  
Dr. Sunil Patidar ◽  
Dr. Juzer Hamid ◽  
Dr. Susheel Soni
Keyword(s):  
Comparative Study ◽  
External Fixator ◽  
Open Fractures ◽  
Type Ii ◽  
Tibial Shaft ◽  
Type Iiia ◽  
Type Iiib ◽  
Comparative Results

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 Evaluation of compound tibial fractures managed with an Ilizarov ring fixator

2020 ◽  
Vol 6 (4) ◽  
pp. 710
Author(s):  
Praveen Ravi ◽  
Muthumanickam Ramanujam ◽  
Jambu Nageswaran ◽  
Sundar Suriyakumar
Keyword(s):  
Open Fractures ◽  
Tibial Fractures ◽  
Long Bone ◽  
Type Ii ◽  
Ring Fixator ◽  
Type Iiia ◽  
Type Iiib ◽  
Ilizarov Ring Fixator ◽  
Ilizarov Fixator ◽  
The Ideal

<p class="abstract"><strong>Background:</strong> The tibia is the most commonly fractured long bone and because of its location and the tenuous soft tissue coverage, its more prone for open fractures tibia than any other long bone. The ideal management of such fractures still remains controversial. We have evaluated the healing of fractures and functional outcomes in patients with open tibial fractures treated with an Ilizarov ring fixator.</p><p class="abstract"><strong>Methods:</strong> 32 patients who had open fractures of the tibia (II, IIIA or IIIB) who were treated with an Ilizarov fixator were included in the study. The patients were followed up for a minimum period of 1 year after removal of the fixator. Functional and radiological results were analysed using association for the study of applications of methods of Ilizarov scoring.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 20 cases of type IIIB, 7 cases of type IIIA, 5 cases of type II fractures. Union was achieved in all patients. Mean time for union was 25.2 weeks, with faster union times in type II, type IIIA fractures. Six cases of type IIIB needed flap cover. Limb discrepancy was seen in 3 cases. 17 cases of pin tract infections were seen, most of which were grade 3 and were managed with antibiotics. Two cases had delayed union, of which one was treated with bone marrow aspirate injection and the other one with bone grafting. At one year, 21 (65.6%) had excellent results, six (18.7%) had good results, four (12.5%) had fair outcomes and one (3.2%) had a poor result.</p><p class="abstract"><strong>Conclusions:</strong> Despite the associated complications, Ilizarov fixator is the ideal treatment for compound tibial fractures.</p>

Treatment of type IIIA open fractures of tibial shaft with Ilizarov external fixator versus unreamed tibial nailing

2007 ◽  
Vol 127 (8) ◽  
pp. 617-623 ◽  
Author(s):  
Muharrem Inan ◽  
Mehmet Halici ◽  
Irfan Ayan ◽  
Mehmet Tuncel ◽  
Sinan Karaoglu
Keyword(s):  
External Fixator ◽  
Open Fractures ◽  
Tibial Shaft ◽  
Ilizarov External Fixator ◽  
Type Iiia

scholarly journals Primary interlocking nailing for open fractures of tibial shaft: a clinical study

2019 ◽  
Vol 5 (5) ◽  
pp. 811
Author(s):  
Talluri V. G. Krishna
Keyword(s):  
Intramedullary Nailing ◽  
Open Fractures ◽  
Type I ◽  
Type Ii ◽  
Tibial Shaft ◽  
Non Union ◽  
Interlocking Nailing ◽  
Type Iiia ◽  
Open Injury ◽  
Closed Intramedullary Nailing

<p class="abstract"><strong>Background:</strong> The excellent method for treating fractures of the tibial shaft was the closed intramedullary nailing technique. But because of limited references related to the results, incidence of infection, non-union of open injury. Hence, it was decided to analyse open tibial fractures treatment by primary interlocking nailing.</p><p class="abstract"><strong>Methods:</strong> 50 Patients with open fractures of the tibial shaft which were treated with primary interlocking nail were studied in the period of 14 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In present study 18 (36%) type I, 22 (44%) type II and 10 (20%) type IIIA Gustilo open fractures were treated. The average duration of time between injury and nailing was 3.5 hours (range was 1.5 hours to 4 hours). After reaming, 40 (80%) fractures were fixed, without reaming, 10 (20%) of fractures were fixed. The average time to union was 27 weeks for type I fractures, 30 weeks for type II fractures and 33 weeks for type IIIA fractures. There was 1 non-union. There were 4 deep infections.</p><p class="abstract"><strong>Conclusions:</strong> The best mode of therapy was primary interlocking intramedullary nailing for open fractures.</p>

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.

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