MANAGEMENT OF OPEN FRACTURE OF TIBIA DIAPHYSIS (GUSTILOANDERSON CLASSIFICATION TYPE-II AND ABOVE)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 40
Abstract
[b] BACKGROUND[/b]: Open tibia diaphysis fractures are complex injuries associated with a high incidence of soft tissue complications and union. Management of it varies with soft tissue and its outcome requires an aggressive approach towards patient along with revision surgery, so study was conducted to assess the outcome of closed proximal tibia fracture management. [b]AIM AND OBJECTIVES:[/b] The study was conducted to assess the outcome of compound fractures of tibia managed by interlocking Intra-medullary nailing or External Fixator, to evaluate the incidence of complications and need for secondary procedures in these open fractures and to assess various factors/variables that may affect the outcome of such fractures when treated by these implants. [b]STUDY DESIGN[/b]: Prospective type, [b]MATERIALS AND METHODS[/b]: 50 consecutive closed tibial plateau fractures were included in this study. All fractures were classified according to Gustilo Anderson classification.There were 42 men and 8 women The study was conducted between June 2009 and October 2011 at the Department of Orthopaedics, New Civil hospital, Surat after the Ethical committee approval. The final outcome was assessed using the Modified Ketenjian’s Criteria. The results were analysed using different parameters; male vs. female, age distribution, mode of trauma, functional outcomes and complications etc. [b]RESULTS AND CONCLUSION[/b]: The average age was 35.6 years with the fracture being more common in the 2nd to 5th decades. 90 % sustained fracture due to road traffic accident. The most common location of fracture was middle 3rd shaft of tibia (50%) and most common type was Open Grade 2 (52%) fracture according to Gustilo-Anderson classification. Patients treated by Interlocking nailing(n=33) group had high (90.9%) chances of union at final follow up, while only 70.58% of patients had union treated by external fixator group(n=17). Functional evaluation were assessed by modified Ketenjian’s criteria, with results 28(56%) excellent, 10(20%) good, 5(10%) fair and 7(14%) poor results. Complication being infection(12), nonunion(6), ant knee pain(6), delayed andmal union(4) and osteomylitis(1).
Authors and Affiliations
Viral Gondalia, Shiblee Siddiqui
Keywords
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- EP ID EP127927
- DOI 10.14260/jemds/2015/1021
- Views 91
- Downloads 0
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