A Hospital-Based Clinical Study on Ilizarov Technique in the Treatment of Distal Fractures of Tibia

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A Hospital-Based Clinical Study on Ilizarov Technique in the Treatment of Distal Fractures of Tibia

Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2

Abstract

Background: In spite of many advances in the surgical management of fractures of long bones, the management of displaced distal tibial fractures remains controversial. The various internal fixation techniques often described are burdened by relatively high complication rates. Alternate to these minimally invasive techniques with ring fixators has been introduced, allowing immediate reduction and stabilization and also avoiding a staged protocol in the surgical treatment of tibial shaft injuries. Aim of the Study: The aim of this study is to analyze the clinical and functional outcome of the Ilizarov technique in patients with distal metaphyseal tibial fractures, with or without intra-articular involvement. Materials and Methods: A total of 67 consecutive patients with isolated fractures of the lower end of tibia were included, treated with the Ilizarov technique, and followed prospectively for 1 year. 4 or 5 rings were used depending on the type of fracture; fracture; in some cases additional foot extension was used. Post-operative unrestricted weight-bearing was allowed in all patients. Pre- and post-operatively, X-rays of the fracture sites, post-operative pain, and complications were evaluated. The movement at the ankle was evaluated clinically at the end of 1 year. Observations and Results: The common complication encountered was pin tract infection which was superficial and was treated with antibiotics and/or the removal of isolated pins. No patient developed compartment syndrome or deep venous thrombosis. Six patients required regular debridement. Two of these six patients had a deep infection and developed a residual deformity which was corrected and healed after reoperation. One patient had a severe residual deformity. The fixators were removed after a median period of 16 weeks (range 11–30). The final outcome was fair to good in 66/67 patients. Conclusions: The Ilizarov method allowed early definitive treatment with a low complication rate and a good clinical outcome.

Authors and Affiliations

Sasikumar Sasidharan, Sathis Chandran

Keywords

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EP ID EP478644
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