Introduction: Illizarov technique is a newer but popular method of treating open tibial fractures after debridement and open reduction. Illizarov method has many advantages and features. On the other hand, open fracture of lower one third of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Aim of the study: The aim of this study was to assess the Ilizarov technique in treating open fracture of lower one third of tibia. Methods: This observational prospective study was conducted at the Department of Orthopedics Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period from January 2017 to December 2017. Thirty six (36) patients with open fracture of lower one third of tibia were selected as the study population. Before starting the intervention the written consent of the participants was taken and this study was approved by the ethical committee of the mentioned hospital. A pre-designed questioner was used in collecting patient data. All data were processed, analyzed and disseminated by MS Office and SPSS version 20 as per need. Results: In this study we found highest 80.56% participants were from road accidents followed by 11.11% from sports injury and rest only 8.33% from general falls. The duration of treatment with the fixator was 12-23 weeks (average 16 weeks). The operation time ranged from 90 minutes to 120 minutes. According to the Karlstrom and Olerud criteria the highest 69.44% patient got ‘excellent’ result. Then 22.22%, 5.56% and 2.78% patients got ‘good’, ‘fair’ and ‘poor’ result respectively. Conclusion: The Ilizarov device is used worldwide for the treatment of several types of fractures. In our study, we found some good features of using Ilizarov induced method in the treatment of open fracture of lower one third of tibia. No case developed deep infection, non-union or unacceptable mal-union. We recommend for more use of Ilizarov technic.
| Published in | American Journal of Biomedical and Life Sciences (Volume 9, Issue 2) |
| DOI | 10.11648/j.ajbls.20210902.14 |
| Page(s) | 128-132 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Open fractures, Illizarov, Fixator, Tibia, Proximal, Distal
| [1] | Court-Brown CM, McBirnie J. The epidemiology of tibial fractures. J Bone Joint Surg Br. 1995; 77: 417-21. |
| [2] | Tornetta P, Bergman M, Watnik N, Berkowitz G, Steuer J. Treatment of grade-IIIb open tibial fractures. A prospective randomized comparison of external fixation and non-reamed locked nailing. J Bone Joint Surg Br. 1994; 76: 13-9. |
| [3] | Hutchinson AJP, Frampton AE, Bhattacharya R. Operative fixation for complex tibial fractures. Ann R Coll Surg Engl. 2012; 94:34-8. |
| [4] | Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976; 58: 453-8. |
| [5] | Wani N, Baba A, Kangoo K, Mir M. Role of early Ilizarov ring fixator in the definitive management of type ІІ, ІІІA and ІІІB open tibial shaft frac- tures. Int Orthop 2011; 35:915-23. [20445978] [http://dx.doi.org/10.100 7/s00264-010-1023-7] |
| [6] | Hasankhani E, Payvandi MT, Bir- jandinejad A. The Ilizarov ring ex- ternal fixator in complex open frac- tures of the tibia. Eur J Trauma 2006; 32:63-8. [http://dx.doi.org/10. 1007/s00068-005-0031-6] |
| [7] | Papaioannou N, Mastrokalos D, Papagelopoulos PJ, Tyllianaksi M, Athanassopoulos J, Nikiforidis PA. Nonunion after primary treatment of the tibia fractures with external fixa- tor. Eur J Orthop Surg Traumatol 2001; 11:231-35. [http://dx.doi.org/1 0.1007/BF01686895] |
| [8] | Gustilo RB. Management of open fractures, in Gustilo RB (Ed.). Orthopaedic Infection, diagnosis and treatment, 1st edition (Philadelphia:WB Saunders Company, 1989) 87-89. |
| [9] | Paul, H Kim; Seth, S Leopold (9 May 2012). "Gustilo-Anderson Classification". Clinical Orthopaedics and Related Research. 470 (11): 3270–3274. doi:10.1007/s11999-012-2376-6. PMC 3462875. PMID 22569719. |
| [10] | "Ovid: Externer Link". Ovidsp.tx.ovid.com. Retrieved 2017-11-10. |
| [11] | Trafton PG. Tibial shaft fractures, in Browner BD, Jupiter JB, Levine AM, Krettek C (Eds.). Skeletal trauma: basic science, management and reconstruction, 4th edition, Vol. 2 (Philadelphia: Saunders, 1998) 2319-2451. |
| [12] | Golyakhovsky V, Frankel VH. Operative manual of Ilizarov techniques, (New Delhi: Jaypee Brothers, 1986). |
| [13] | Tucker HL, Kendra JC, KInnebrew TE. Management of unstable open and closed tibial fractures using Ilizarov method, Clinical Orthopaedics and Related Research, 280, 1992, 125-135. |
| [14] | Shtarker H David R, Stolero J, Grimberg B, Soundry M. Treatment of open tibial fractures with primary suture and Ilizarov fixation, Clinical Orthopaedics an Related Research, 335, 1997, 268-274. |
| [15] | Keating JF, Obrier PF, Blachut PA, Meck RN, Broekhuse HM. Locking intramedullary nailing with and without reaming for open fracture of the tibial shaft, The Journal of Bone and Joint Surgery, 79 A, 1987, 334-341. |
| [16] | Hulth A. Basic science and pathology, current concept of fracture healing: Clinical Orthopaedics and Related Research, 249, 1989, 265-285. |
APA Style
Erfanul Huq Siddiqui, Sheikh Forhad, Md Shamsul Alam, Jannat Sultana, MAA Shameem. (2021). Treating Open Fracture of Lower One Third of Tibia by Ilizarov Technique: A Study in a Tertiary Care Hospital of Bangladesh. American Journal of Biomedical and Life Sciences, 9(2), 128-132. https://doi.org/10.11648/j.ajbls.20210902.14
ACS Style
Erfanul Huq Siddiqui; Sheikh Forhad; Md Shamsul Alam; Jannat Sultana; MAA Shameem. Treating Open Fracture of Lower One Third of Tibia by Ilizarov Technique: A Study in a Tertiary Care Hospital of Bangladesh. Am. J. Biomed. Life Sci. 2021, 9(2), 128-132. doi: 10.11648/j.ajbls.20210902.14
AMA Style
Erfanul Huq Siddiqui, Sheikh Forhad, Md Shamsul Alam, Jannat Sultana, MAA Shameem. Treating Open Fracture of Lower One Third of Tibia by Ilizarov Technique: A Study in a Tertiary Care Hospital of Bangladesh. Am J Biomed Life Sci. 2021;9(2):128-132. doi: 10.11648/j.ajbls.20210902.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajbls.20210902.14,
author = {Erfanul Huq Siddiqui and Sheikh Forhad and Md Shamsul Alam and Jannat Sultana and MAA Shameem},
title = {Treating Open Fracture of Lower One Third of Tibia by Ilizarov Technique: A Study in a Tertiary Care Hospital of Bangladesh},
journal = {American Journal of Biomedical and Life Sciences},
volume = {9},
number = {2},
pages = {128-132},
doi = {10.11648/j.ajbls.20210902.14},
url = {https://doi.org/10.11648/j.ajbls.20210902.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210902.14},
abstract = {Introduction: Illizarov technique is a newer but popular method of treating open tibial fractures after debridement and open reduction. Illizarov method has many advantages and features. On the other hand, open fracture of lower one third of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Aim of the study: The aim of this study was to assess the Ilizarov technique in treating open fracture of lower one third of tibia. Methods: This observational prospective study was conducted at the Department of Orthopedics Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period from January 2017 to December 2017. Thirty six (36) patients with open fracture of lower one third of tibia were selected as the study population. Before starting the intervention the written consent of the participants was taken and this study was approved by the ethical committee of the mentioned hospital. A pre-designed questioner was used in collecting patient data. All data were processed, analyzed and disseminated by MS Office and SPSS version 20 as per need. Results: In this study we found highest 80.56% participants were from road accidents followed by 11.11% from sports injury and rest only 8.33% from general falls. The duration of treatment with the fixator was 12-23 weeks (average 16 weeks). The operation time ranged from 90 minutes to 120 minutes. According to the Karlstrom and Olerud criteria the highest 69.44% patient got ‘excellent’ result. Then 22.22%, 5.56% and 2.78% patients got ‘good’, ‘fair’ and ‘poor’ result respectively. Conclusion: The Ilizarov device is used worldwide for the treatment of several types of fractures. In our study, we found some good features of using Ilizarov induced method in the treatment of open fracture of lower one third of tibia. No case developed deep infection, non-union or unacceptable mal-union. We recommend for more use of Ilizarov technic.},
year = {2021}
}
TY - JOUR T1 - Treating Open Fracture of Lower One Third of Tibia by Ilizarov Technique: A Study in a Tertiary Care Hospital of Bangladesh AU - Erfanul Huq Siddiqui AU - Sheikh Forhad AU - Md Shamsul Alam AU - Jannat Sultana AU - MAA Shameem Y1 - 2021/04/30 PY - 2021 N1 - https://doi.org/10.11648/j.ajbls.20210902.14 DO - 10.11648/j.ajbls.20210902.14 T2 - American Journal of Biomedical and Life Sciences JF - American Journal of Biomedical and Life Sciences JO - American Journal of Biomedical and Life Sciences SP - 128 EP - 132 PB - Science Publishing Group SN - 2330-880X UR - https://doi.org/10.11648/j.ajbls.20210902.14 AB - Introduction: Illizarov technique is a newer but popular method of treating open tibial fractures after debridement and open reduction. Illizarov method has many advantages and features. On the other hand, open fracture of lower one third of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Aim of the study: The aim of this study was to assess the Ilizarov technique in treating open fracture of lower one third of tibia. Methods: This observational prospective study was conducted at the Department of Orthopedics Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period from January 2017 to December 2017. Thirty six (36) patients with open fracture of lower one third of tibia were selected as the study population. Before starting the intervention the written consent of the participants was taken and this study was approved by the ethical committee of the mentioned hospital. A pre-designed questioner was used in collecting patient data. All data were processed, analyzed and disseminated by MS Office and SPSS version 20 as per need. Results: In this study we found highest 80.56% participants were from road accidents followed by 11.11% from sports injury and rest only 8.33% from general falls. The duration of treatment with the fixator was 12-23 weeks (average 16 weeks). The operation time ranged from 90 minutes to 120 minutes. According to the Karlstrom and Olerud criteria the highest 69.44% patient got ‘excellent’ result. Then 22.22%, 5.56% and 2.78% patients got ‘good’, ‘fair’ and ‘poor’ result respectively. Conclusion: The Ilizarov device is used worldwide for the treatment of several types of fractures. In our study, we found some good features of using Ilizarov induced method in the treatment of open fracture of lower one third of tibia. No case developed deep infection, non-union or unacceptable mal-union. We recommend for more use of Ilizarov technic. VL - 9 IS - 2 ER -
Email: