Evaluation of illizarov technic in treating tibial open fractures: An observational study

  • Dr. A.K.M. Shaharul Islam Assistant Professor, Department of Orthopaedics, TMSS Medical College, Bogura, Bangladesh
  • Dr. Md. Qumruzzaman Parvez Junior Consultant (Orthopaedic Surgery), Rajshahi Medical College Hospital, Rajshahi, Bangladesh
  • Dr. Md. Rifat Munzoor-Al-Mahmud RS, TMSS Medical College, Bogura, Bangladesh
  • Dr. Kh. Nafiz Rahman Assistant Registrar, Orthopaedics, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
Keywords: Illizarov, Open fractures, Tibia, Fixator, Proximal, Distal

Abstract

Introduction: Illizarov technique is a versatile method of treating open tibial fractures after debridement and open reduction. Tibial open fractures are usually classified into Type I, II, IIIA, IIIB and IIIC. Illizarov method has many advantages and features for such fracture treatment. But in Bangladesh, we have not enough research-oriented information regarding this treatment method.

Aim of the study: This study aimed to assess the Ilizarov technique in treating tibial open fractures.

Methods: This observational prospective study was conducted in the Department of Orthopedics of TMSS Medical College, Bogura, Bangladesh and 3 associated private clinics during the period from January 2018 to December 2021. In total 23 patients with tibial open fractures were confirmed as the study subjects. Before starting this 3 year in3-yeartion, proper written consent of the participants was taken and this study was approved by the ethical committee of the mentioned hospital and clinics. A semi-structured; pre-designed questionnaire was used in collecting patient data. All the data were processed, analyzed and disseminated by using MS Office and SPSS version 23.  

Results: In this study, we found highest 65% of participants were injured from road traffic accidents (RTA) followed by 26% from general falls and the rest 9% from a sports injury as the mode of injury. The total treatment duration with the fixator was 12-23 weeks with an average of 16 weeks. The operation time ranged from 90 minutes to 120 minutes. As per the Karlstrom and Olerud criteria, the highest 70% of patients got ‘excellent’ results. Besides this, 17%, 9% and 4% of patients got ‘good’, ‘fair’ and ‘poor’ results respectively.

Conclusion: In our study, we found some excellent features the of Ilizarov induced method in the treatment of open fractures of tibia. We would like recommend more use of Ilizthe arov technic in the field of Orthopaedics.

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CITATION
DOI: 10.26838//MEDRECH.2022.9.3.594
Published: 2022-05-10
How to Cite
1.
Islam AS, Parvez MQ, Munzoor-Al-Mahmud MR, Rahman KN. Evaluation of illizarov technic in treating tibial open fractures: An observational study. Med. res. chronicles [Internet]. 2022May10 [cited 2022Jun.27];9(3):158-64. Available from: https://medrech.com/index.php/medrech/article/view/577
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Original Research Article