Comparative study of management of Gustillo Anderson Type I & II Fracture Tibia by Plaster of Paris Cast method and External Fixator Method
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
ackground: Management of open fracture of leg are the subject of ongoing controversy and discussion despite newer innovation in implants and External Fixator devices. In spite of recent advances in implants choices, conservative management of fractures remain a viable option for surgeons in developing countries like India. The present study was to compare the effectiveness in terms of union of bone and wound healing between external fixator method management with conservative closed POP cast method management in Gustillo Anderson Type – I & Type – II open fracture of leg. Material and Methods: Total forty patients were followed those having compound fracture tibia and fibula grade 1& 2, randomly selected for external fixator and conservative POP cast management. In these two groups i.e. closed plaster [CP]group and external fixator [EF] group 20 patients in each group followed on 3, 6, 12,and 24 weeks. Results: Assessment was done based on different parameters and found that Gustillo Anderson Type – I & Type – II open fracture of Tibia and Fibula are better managed in CP group in term of better rate of healing and union of bone rather than external fixator group. Conclusion: Considering all results conservative management (Cast Method) of open fractures grade 1 and 2 of tibia and fibula gives good results or even better than external fixator method. It is easy to apply in day to day practice and also cost effective in developing countries.
Authors and Affiliations
Jasveer Singh, Harish Kumar, Dinesh Kumar, S P S Gill S P S Gill, Pulkesh Singh, Manish Raj
Keywords
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