scholarly journals Functional Outcome of Open Tibial Fracture Using Illizarov Apparatus

2021 ◽  
pp. 62-65
Author(s):  
Abhishek Choukse
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Tibial Fracture ◽  
Tibial Fractures ◽  
Wound Complications ◽  
Soft Tissue Coverage ◽  
Hybrid Technique ◽  
Open Tibial Fracture ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

The better treatment for tibial fractures are very vague and difficult. Since the tibia is covered by soft tissue coverage fixing of plate becomes very difficult as it creates wound complications, mainly in case of severe fractures.In this study of 20 cases of open communited fractures of tibia with the Ilizarov ring fixator hybrid technique was used, it was found that this technique has a major advantages in treatment and management of the tibial fracture.

scholarly journals Complications with Ilizarov ring fixator in open tibial fracture

2021 ◽  
Vol 7 (2) ◽  
pp. 359-363
Author(s):  
Dr. Meet Kamal Singh Wadi ◽  
Dr. Sonia Garg ◽  
Dr. Lovjot Singh ◽  
Dr. Ramneet
Keyword(s):  
Tibial Fracture ◽  
Open Tibial Fracture ◽  
Ring Fixator ◽  
Ilizarov Ring Fixator

scholarly journals A PROSPECTIVE ANALYSIS OF GUSTILLO-ANDERSON OPEN TYPE II AND TYPE III TIBIAL DIAPHYSEAL FRACTURES OF AO TYPE 42C1 AND 42C2; THAT WERE SURGICALLY INTERVENED UPON.

2021 ◽  
pp. 1-8
Author(s):  
Umale Rushikesh Hari ◽  
R K Guhan ◽  
Janhavi Thanigaivelu ◽  
Venkatachalam. K
Keyword(s):  
Tibial Fracture ◽  
Tibial Fractures ◽  
Soft Tissue Coverage ◽  
Type Ii ◽  
Open Type ◽  
Type Iii ◽  
Bone Trauma ◽  
Diaphyseal Fractures ◽  
The Mean ◽  
Poor Outcomes

Introduction: Segmental tibial fracture is characterized, as a distinguished kind of fracture type. They are portrayed by at least, two distinctive fracture lines, with a totally separate, inter-calary osseous section, either with intact cortical tubular or as a comminuted segment. AO type 42 C1 and C2 fractures of the tibia are generally, brought about by a high- velocity RTA. They have a high “taux de” of complications. AO type 42 C1 and C2 tibial fractures are considered, as a discrete clinico-surgical bone trauma and are in deep contrast, with the other variants of tibial fractures. Aim: To analyze the functional outcome of Gustillo- Anderson open type II and type III Tibial Diaphyseal fractures of AO Type 42C1 and 42C2; that were surgically intervened upon. Materials and Methods: 62 adult patients in the age bracket of 26-55 years having Gustillo-Anderson open type II and type III Tibial Diaphyseal fractures of AO Type 42C1 and 42C2, were surgically intervened in the form of reamed IMIL nailing. Results: We achieved 62.36% Excellent, 13.98% Good, 15.05% Fair and 4.84% Poor outcomes calculated by the mean of mean scores of Johner AND Wruhs Criteria, Modified Knee Society Score, Yokoyama Criteria scores. Conclusion: This study concludes that Gustillo- Anderson open type II and type III Tibial Diaphyseal fractures of AO Type 42C1 and 42C2 can be managed satisfactorily with IMIL nailing without the need of external fixator application, provided appropriate soft tissue coverage is given at the appropriate time.

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>

scholarly journals Soft-tissue coverage for wound complications following total elbow arthroplasty

2021 ◽  
Vol 24 (4) ◽  
pp. 245-252
Author(s):  
Arno A. Macken ◽  
Jonathan Lans ◽  
Satoshi Miyamura ◽  
Kyle R. Eberlin ◽  
Neal C. Chen
Keyword(s):  
Wound Healing ◽  
Soft Tissue ◽  
Demographic Data ◽  
Total Elbow Arthroplasty ◽  
Wound Complications ◽  
Soft Tissue Coverage ◽  
Soft Tissue Reconstruction ◽  
Local Tissue ◽  
Elbow Arthroplasty ◽  
Tissue Reconstruction

Background: In patients with total elbow arthroplasty (TEA), the soft-tissue around the elbow can be vulnerable to soft-tissue complications. This study aims to assess the outcomes after soft-tissue reconstruction following TEA. Methods: We retrospectively included nine adult patients who underwent soft-tissue reconstruction following TEA. Demographic data and disease characteristics were collected through medical chart reviews. Additionally, we contacted all four patients that were alive at the time of the study by phone to assess any current elbow complications. Local tissue rearrangement was used for soft-tissue reconstruction in six patients, and a pedicle flap was used in three patients. The median follow-up period was 1.3 years (range, 6 months–14.7 years).Results: Seven patients (78%) underwent reoperation. Four patients (44%) had a reoperation for soft-tissue complications, including dehiscence or nonhealing of infected wounds. Five patients (56%) had a reoperation for implant-related complications, including three infections and two peri-prosthetic fractures. At the final follow-ups, six patients (67%) achieved successful wound healing and two patients had continued wound healing issues, while two patients had an antibiotic spacer in situ and one patient underwent an above-the-elbow amputation. Conclusions: This study reports a complication rate of 78% for soft-tissue reconstructions after TEA. Successful soft-tissue healing was achieved in 67% of patients, but at the cost of multiple surgeries. Early definitive soft-tissue reconstruction could prove to be preferable to minor interventions such as irrigation, debridement, and local tissue advancement, or smaller soft-tissue reconstructions using local tissue rearrangement or a pedicled flap at a later stage.

scholarly journals RESULT OF MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS (MIPO) WITH USE OF LOCKING PLATE IN FRACTURE TIBIA DISTAL END

2021 ◽  
pp. 1-3
Author(s):  
Kunal Shankar ◽  
Vikash M. Harinandan ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
Soft Tissue ◽  
Locking Plate ◽  
Road Traffic ◽  
Plate Osteosynthesis ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Soft Tissue Coverage ◽  
Distal Tibial Fractures ◽  
Fracture Tibia

Background: The fractures of distal tibia including tibial pilon pose a great challenge to the surgeon due to subcutaneous location, scarcity of blood supply and paucity of soft tissue coverage. Minimal invasive plating osteosynthesis (MIPO) has evolved as a newer concept to treat distal tibial fractures with minimal articular comminution and minimal soft tissue damage. Aim of the present study was to evaluate the results of MIPO technique with use of a locking plate in fracture tibia distal end. Method: During the study period of two years, total 45 cases of closed distal tibial fractures (Diaphyseal and metaphyseal region) were operated by MIPO technique with a distal tibial anatomical locking plate (3.5 and 4.5 mm). They were followed up at regular intervals and results were evaluated. Results: The age of the patients ranged from 20-60 years with the majority (19; 42.22%) of them being in the age of 40-50 years. The most common mode of injury was road traffic accident (33; 73.33%). In all patients MIPO was performed, in none of them, fracture site was opened. Mobilization of adjacent joints was carried out mostly from second to fourth postoperative day. Most of the fractures united between 10-12 weeks (26; 57.77%). On analyzing the results of MIPO, excellent results were seen in 66.66% cases and 33.34% had satisfactory results. Conclusion: Hereby we concluded that though various modalities of treatment of fractures of the distal tibia are present MIPO seem to be better technique if done under skillful guidance as done in this study.

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