Publication: Treatment of grade IIIB opens tibial fracture by ilizarov hybrid external fixator
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | P, Kumar | |
| dc.contributor.author | GK, Singh | |
| dc.contributor.author | S, Bajracharya | |
| dc.date.accessioned | 2025-07-27T05:56:16Z | |
| dc.date.available | 2025-07-27T05:56:16Z | |
| dc.date.issued | 2007 | |
| dc.description | Kumar P, Singh GK, Bajracharya S Assistant Professor, Clinical epidemiologist, Senior Resident, Department of Orthopaedics, B. P. Koirala Institute of health sciences, Dharan, Nepal | |
| dc.description.abstract | Objective: We evaluated the results of patients who were treated with Ilizarov hybrid external fixator for type IIIB open tibial fractures. Materials and methods: 35 Gustilo grade IIIB tibial fractures of age between 18 to 42 years (22 male and 13 female) in which 12 distal fourth tibia (D/4) of C1.1 (6), C1.3 (6), 12 upper fourth Tibia (U/4) of A2 (8) and A3 (4) according to AO classification and 11 Tibial plateau fractures of Schatzker type VI (5) , V(5), IV(1) . All tibial plateau, proximal fourth fractures and lower fourth fractures of tibia and fibula (Reversed Hybrid), treated with Ilizarov hybrid fixator using two Ilizarov 5/8 rings and AO External fixator were followed up to 12-52 months. Results: D/4 fractures were united at 31.1667±8.3046 wks, U/4 at 24.00±5.2915 and Tibial plateau at 15.545±4.160 weeks (p-0.00). ROM in tibial plateau type IV 130°±00, type V 124°±8.94° , type VI 125°±7.0711°, D/4 of type C1.1 (50°±0.00), type C1.3 (43° ±5.7755) whereas full ROM in U/4 fractures. Pin tract infection occurred in 21% of cases. Pain on walking in 20% of cases of type VI tibial plateau fractures and 80% of cases of type IV and V. Problem free in rest of parameter of function of VI and 100% problem in IV and V. Pain at rest observed in 20% of cases in type V. In 66.67% U/4 fractures had pain on walking but no other functions were compromised. In 33% D/4 fractures of C1.1 type had pain on walking only and had 1cm of shortening. Conclusion: On the basis of our experience, we suggest adopting this method for functional limb salvage after extensive complex high-energy injuries. This fixator is safe and versatile, effective in providing stability and allowing early rehabilitation, although the indications for its use are very relatively specific. Key words: Ilizarov hybrid external fixator, tibial plateau, upper fourth and distal fourth fractures, Clinical and Functional outcome. | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/708 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu Unviversity | |
| dc.title | Treatment of grade IIIB opens tibial fracture by ilizarov hybrid external fixator | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 180 | |
| oaire.citation.startPage | 177 | |
| relation.isJournalIssueOfPublication | 20924142-b1f6-494d-ac74-a8f01ad5fadf | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 20924142-b1f6-494d-ac74-a8f01ad5fadf | |
| relation.isJournalOfPublication | a782b7ff-cf89-4178-ad1c-11ed89cfe1bd |