In a field of trauma surgery, compound fracture of tibia had always been encountered with high complication rates. Bone and soft tissue injuries need aggressive yet meticulous management to avoid further damage that results in poor healing. The optimum treatment for open fractures of tibia remains controversial. Our study is to evaluate the role of external fixator application in the treatment of compound Grade II & IIIA tibial fractures. All 25 patients who presented with compound Grade-II & Grade-III A tibial fractures were considered for the study. The results obtained were analysed, In regards to the advantage and disadvantage in terms of soft tissue healing, time of fracture union and ultimate functional outcome. We had only 4.5% nonunion, malunion occurred in 2 patients, and bone grafting was needed in only 3 patients out of the 22 patients in our study. The initial external fixation afforded excellent accessibility for management of the soft-tissue injuries. The prospective collection of data from our series mainly comprising open tibial fractures has shown that techniques using external fixators are quick and easy to apply, especially in a polytraumatized patient, and that they minimize the risk of severe soft tissue complications; a significant decrease in the rate of complications. However, the time frames for union derived from the treatment of closed fractures are not applicable.
in group-3 (n¼113). Pain improved from 11,8/15 preoperatively to 2.5/15 postoperatively in group-1, from 11,2/15 to 2/15 in group 2 and from 11,3/15 to 2,5/15 in group-3. Mean range of movement (ROM) improved to 142 flexion and 131 abduction in group-1, 152 flexion and 144 abduction in group-2 and 157 flexion and 154 abduction in group-3. The SSV improved form 1,2 to 8,5 in group-1, from 1,3 to 8,5 in group-2, from 1,2 to 8,4 in group-3. No statistical significance differences were observed in CS, SSV and ROM in group-3 compared to group-1 and 2 Conclusions: Despite no statistical significance differences in the three groups, immediate mobilisation after rTSA was seen to be safe, allowing quicker recovery and reducing prolonged immobilisation discomfort. The complications weren't observed to be increased in this group. A strong repair of the deltoid is mandatory to reach this purpose
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