Complex proximal tibia fracture dislocations managed by Ilizaorov fixator- A case series with review of literature
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 3
Abstract
Background: Bicondylartibial fractures are serious injuries and are difficult to manage even for the most experienced trauma surgeons. The soft tissue around proximal tibia demonstrates poor healing response following dissection or manipulation. Hence surgical fixation of these injuries by osteosynthesis has shown mixed results over the years. Case Series: We conducted a prospective study of five consecutive patients of compound proximal tibia bicondylar fractures from January 2013 to June 2016. All of them were compound type 3A or 3B injuries classified according to Gustilo-Anderson grading system of open injuries. ILIZAROV fixator was used for treatment in all the cases. The fixator was kept for an average of twelve to twenty weeks. The patients range of motion and knee society score was recorded at the end of 32 weeks. Results: The average range of movements achieved in the knee joint was105 degrees at the end of eight months. Complications included knee stiffness and pin site infections. Knee stiffness was managed by subjecting the patient to aggressive physiotherapy by continuous passive movements. In one patient manipulation under general anesthesia had to be done. Two patients had pin site infections which were superficial and subsided by antibiotics and daily pin site dressings. The knee society score was excellent in four patients and good in one patient. Conclusion: This case series emphasizes the clinical success and low morbidity to the patient when treated with ILIZAROV fixator. The technique is suited well to manage complex proximal tibia injuries as it provides a stable construct in all the planes. Anatomical reduction of fragments can be achieved by closed reduction using olive wires during ILIZAROV application. This would avoid excessive dissection of soft tissue required during plating.
Authors and Affiliations
Arunodhaya Siddartha, Supreeth Nekkanti, Purushotham Sastry, Seshagiri 4, Abhilash G
Keywords
Related Articles
- EP ID EP242495
- DOI -
- Views 74
- Downloads 0
Radiological assessment of the outcome and complications of uncemented revision total hip arthroplasty in failed primary hemiarthroplasty
Introduction: Uncemented revision total hip arthroplasty is the procedure of choice for the patients with failed hemiarthroplasty providing pain relief, preservation of mobility, range of motion and easy rehabilitation.I...
Assessment of Mortality in Postoperative Hip Fractures in a Rural Tertiary Care Centre
Background: Peritrochanteric hip fractures in elderly people leads to prolonged immobilization and increased risk of death. Elderly people having co morbidities such as diabetes, hypertension and cardiovascular diseases,...
“Do Radiographic parameters predict Functional Outcome in Distal end Radius Fracture?”
Background: Lower end radius fractures are among the most common fractures of the upper limb and accounts for 15-20% of orthopedic admissions in hospitals. Management these fractures continues to be a therapeutic problem...
Uncommon dwelling for a common swelling – Myositis ossificans of the foot
The benign swellings in the foot and ankle are very rare in occurrence when compared to the other regions of the body and they may mimic malignant tumours, thereby being a diagnostic and therapeutic challenge. Myositis o...
Comparison of efficacy of extramedullary fixation devices and proximal femoral nail in the management of subtrochanteric fracture femur
Introduction Hip is one of the important joint for locomotion in human beings So fractures in and around hip joint are of great concern to treating surgeon and patient We have made an attempt to evaluate these complex fr...