A prospective study of delta frame as external fixator for open-distal tibial fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Distal tibial fractures pose a serious challenge to the orthopaedician because muscular coverage is very less and poorly vascularized [1]. It is further complicated by comminution, joint involvement, open fractures and high energy trauma [1]. The goals of management are proper care of the injured soft tissues, restoration of joint congruity, stable fixation [2]. Ankle spanning external fixation ie Delta frame has become the initial treatment of choice for complex tibial pilon fractures [3]. The ‘tripolar configuration’ allows facilitation of wound care, plastic procedures and good xray or CT images [4]. The Delta external fixator was found to be the most stable external fixator for treating not stable as type III according AO/OTA’s classification [5]. The IM nails often do not provide enough stability in distal tibial fractures and plating requires extensive soft tissue dissection [6]. External fixators can also be used in osteoporotic and unreconstructable comminuted metaphyseal fractures with poor bone stock [6]. However literature support is scanty, hence we decided to do the above study with an aim to analyze its results using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hindfoot score.
Authors and Affiliations
Dr. Siddaram N Patil, Prabhuling Reddy Patil, Dr. Ronak Daglia
Keywords
Related Articles
- EP ID EP485767
- DOI 10.22271/ortho.2018.v4.i1n.134
- Views 162
- Downloads 0
A new geometrical method (BMCRI Method) for measuring cup anteversion after total hip replacement
Back ground: In total hip replacement the cup placement is critical. Orientation is determined by anteversion and abduction. We have devised a simple geometrical method to calculate anteversion using simple instruments w...
Study of clinical out-come and prevalence of multi-drug resistance in spinal tuberculosis and detection with gene-expert test, antibiotic susceptibility pattern
We have conducted a study of 40 cases on Clinical out come and Prevalence of Multi-Drug Resistant in Spinal Tuberculosis and detection with Gene-Expert Test, Antibiotic susceptibility pattern in our Anil Neerukonda Hospi...
A study on femur neck shaft angle and its clinical importance
Introduction: Prevalence of hip osteoarthritis, fracture neck femur and other hip joint ailments are increasing day by day. Arthroplasty is the definite treatment for these patients. The femur forms the skeleton of the t...
Operative management and radiological outcome of sacroiliac joint fractures and dislocation: A cross sectional study
Pelvic ring fractures are the most unstable fractures because of the posterior ring disruption. Motor vehicle accidents lead to high-energy pelvic ring fractures, which leads to the sacroiliac joint disruption with compl...
Histopathological and macroscopic evaluation of the ACL and its correlation to other variables in patients undergoing primary total knee arthroplasty: A prospective study of 50 cases
More and more interest is evoked now a days regarding preservation of cruciate ligaments in total knee arthroplasty. This requires strong scientific evidence before undertaking such procedure. This study assessed gross a...