A Retrospective analysis of various management strategies for compound fractures of tibia and functional outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Introduction: Management of open fractures of tibia is still debatable. Several patient factors and injury patterns keep the surgeon wondering as to optimal choice of implant. With recent report favouring nailing in open fractures a retrospective analysis was done regarding management of open fractures of tibia. Material And Method: Retrospective study done at our center from December 2014 to March 2017wherein 106 cases of compound fractures of tibia were reviewed regarding patient factors, injury mechanisms, management and outcome. Only skeletally mature patients with compound fractures of tibia shaft Gustilo grade IIIA were included in study. Result: Data analysis revealed that 106 cases of open fracture shaft of tibia were managed between May 2014 to September 2016 of which 62 were managed primarily by external fixator and 44 by interlocking nailing. Average follow-up available for patients was 14 months (range 10-18 months). Patients managed by external fixator had more cases of delay in presentation as compared to patients managed by interlocking nailing. Conclusion: Primary management of open injuries is still largely done using external fixators. Several factors play a role, mainly being delay in presentation and patient health status.
Authors and Affiliations
Dr. Rajeev Y. Kelkar, Dr. Anuj Mundra
Keywords
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- EP ID EP370598
- DOI 10.9790/0853-1704064146.
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