Management of Segmental Fracture Tibia by Ilizarov Technique

Bari, Mofakhkharul

doi:10.15406/mojor.2015.03.00097

Cited by 1 publication

(2 citation statements)

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“…The exposure of the fracture site leads to disturbance of the biological environment which has a negative effect on bone union. All of the above factors lead to a greater tendency towards the onset of infection, dehiscence of the wound, compartment syndrome and nonunion 10,11 . Often the complications are not isolated, they consist of combination of infection, nonunion, bone and soft tissue defects 12 .…”

Section: Introductionmentioning

confidence: 99%

“…The sturdy construct provided by such an external fixator enables at the same time dynamic functional axial loading of the injured leg. The importance of the early weight bearing and the initiation of movements in adjacent joints are well established in literature 10 . One of the essential characteristics of this method is its modularity which allows the construction of frame specific to each patient and according to each fracture pattern.…”

Section: Introductionmentioning

confidence: 99%

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Segmental tibial fractures treated with Ilizarov circular fixator

et al. 2021

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Background/Aim: Segmental fractures represent complex tibial injuries, featuring a unique fracture type that is most commonly caused by a high-energy trauma. These fractures are considered to be a treatment challenge for orthopaedic surgeons due to their sporadic presentation, wide zone of soft tissue injury, and increased rate of complications. They are characterised by highly unstable intermediary segment and high rate of open fractures. The method of Ilizarov with its characteristics could offer many advantages over the existing operative techniques. This method, using a percutaneous approach, minimizes the intraoperative trauma and avoids the additional compromising of the biological environment at the fracture site. The aim of this study is to evaluate the results of Ilizarov fixator in treatment of segmental tibial fractures. Methods: We analysed 30 patients treated with an Ilizarov fixator between 2012 and 2017. Average age was 36 years (from 24 to 65). The most common mechanism of injury was a road traffic accident. Open fractures were noted in 22 cases. All fractures were reduced using indirect percutaneous techniques with a great focus on achieving the correct length, rotation and axial alignment of fragments. All patients were advised to bear weight as tolerated from the second postoperative day. Bone healing and functional results were evaluated according to criteria established by the Association for the Study and Application of the Method of Ilizarov. Results: Bone healing was achieved in all patients. The average time to union was 25 weeks (19 to 36 weeks). The bone results were excellent in 23 patients, good in five patients and fair in two patients. The functional results were excellent in 22 cases, good in 5 and fair in three cases. Eight patients had minor pin-tract infections, successfully treated with oral antibiotics. Patients were without any major complications. Conclusion: Ilizarov method is a safe and efficient treatment modality for segmental tibial fractures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%