An evaluation of Ilizarov technique in treating patients with open fractures of Tibia

  • Dr. Mohammod Abdullah Al Muti Assistant Professor, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh
  • Dr. Abdullah Al Mamun Junior Consultant, Moulvibazar 250 Bed District Sadar Hospital, Moulvibazar, Bangladesh
  • Dr. Dibakar Sarkar Junior Consultant, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
  • Dr. Mohi Uddin Aslam Assistant Professor, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh
  • Dr. Md. Enamul Haque Junior Consultant, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh
Keywords: Distal, Ilizarov technic, Fixator, Tibia, Open fractures, Proximal

Abstract

Introduction: Open fracture of the tibia is a very common incidence in the orthopedic treatment arena. Ilizarov method is a popular method of treating open fractures of the tibia after debridement and open reduction. It is comparatively a newer method in Bangladesh and has many advantages. We have very little research-oriented data regarding the effectiveness of this technique in treating open fractures of the tibia.

Aim of the study: The aim of this study was to evaluate the Ilizarov technique in the treatment of open fractures of the tibia.

Methods: This was a prospective observational study which was conducted in the Department of Orthopedics, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh during the period from January 2019 to December 2019. In total 27 patients with open tibial fractures were selected as the study population. Before starting the intervention, the written consents of the participant were taken and this study was approved by the ethical committee of the mentioned hospital. All data were processed, analyzed, and disseminated by MS Office and SPSS program as per need.

Results: According to the Karlstrom and Olerud criteria outcomes were assessed. Among total participants, the majority portion got 'excellent’ results which were 66.67%. Then 22.22%, 7.41%, and 3.70% participants got ‘Good’, ‘Fair’ and ‘Poor’ results respectively. As postoperative complications, local pain with motion and local edema was seen in 3 cases and painful tenting of skin in 5 cases. Delayed complications included pin tract infection in 6 patients, loss of 80 ankle dorsiflexion in 2 cases, shortening of 1 cm was seen in 1 case, 2 cases (5%) of united in 70 recurvatum as calculated radiologically, 2 cases of muscle wasting of the leg from 0.4 to 1.5 cm were found. No case developed the deep infection, non-union, or unacceptable malunion. Only one patient got 2 weeks more treatment than all the others patients.

Conclusion: In this current study, no case developed a deep infection, non-union, or unacceptable mal-union. The Ilizarov device is used worldwide for the treatment of several types of fractures. Low blood loss, prompt healing, and minimum complications may be considered as some good features of Illizarov technic for the treatment of open fracture of the tibia.

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CITATION
DOI: 10.26838/MEDRECH.2021.8.3.531
Published: 2021-06-29
How to Cite
1.
Muti MAA, Mamun AA, Sarkar D, Aslam MU, Haque ME. An evaluation of Ilizarov technique in treating patients with open fractures of Tibia. Med. res. chronicles [Internet]. 2021Jun.29 [cited 2024Mar.29];8(3):286-94. Available from: https://medrech.com/index.php/medrech/article/view/513
Section
Original Research Article