Assessment & Evaluation of the Outcome for Closed and Open Method in Treatment of Segmental Tibial Fracture
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2014, Vol 4, Issue 6
Abstract
Segmental tibial fractures are considered to be a special type of injury associated with high complication rates and are defined by the presence of two or more distinct fracture lines with completely isolating an intermediary segment і.е interruption of bone integrity at two levels(majority) or moreand are usually caused by a high-energy direct trauma with important soft tissue damage effect the both intramedullary and periosteal vascularization, which are predisposed to slow healing with creation of unsuitable biological conditions for fracture union. The aim of our study was to evaluate and assess the outcome of our policy on dealing with closed segmental fracture of the tibia treated by (closed or open) application of external tubular device fixator (AO group of ASIF) .Within the period between October 1, 1998 and September 30, 2010 in Al Nasiriya military hospital, AL Amara military hospital and Al Husain teaching hospital, we collect 38 patients with displaced and minimally displaced closed segmental tibial fractures. We exclude the multiply injured patients died after surgical treatment in the course of further management, open fractures, and all the patients lost for follow up. The minimally or undisplaced fractures were treated by closed application of the external device, while those with significantly displaced fractures, firstly managed by calcaneal continuous traction for a few days as an attempt for reduction, some of them were reduced to minimally displaced or acceptable position which were treated also by closed method, and some are remain significantly displaced, treated by open reposition and external fixation with the help of X-ray control for all cases. A range of motion exercise of ankle and knee joints post operatively were encouraged.
Authors and Affiliations
Dr. JamalKadhimShwayel AL-Saeedi,
Keywords
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