Effect of Early versus Delayed Wound Closure on Union Time of Gustilo III-A Tibial Shaft Fractures
Rizwan Ali Jhatiyal, Zamirhussain Tunio, NazarHussain Shah, Tahir Ahmed, Jahanzeb Hasan Khaskheli, Gulzar Saeed Ahmed
1200
ABSTRACTObjective: To evaluate the outcomes of wound closure: Early vs. Delayed; on union time of Gustilo III-A Tibial shaft fractures.Study Design:Cross-sectional comparative study.Place and Duration of Study:Department of Orthopedic Surgery & Traumatology at Liaquat University of Medical Health Sciences Jamshoro from 1stJanuary 2017 to 30thSeptember 2018.Methodology:One hundred and twenty three cases with open Gustilo III-A diaphyseal fracture of Tibia with age ranging from 18 to 52 years of either sex were included in the study, while patients with co-morbids, host type B, C excluded from study. All the patients were categorized in two groups of Early & Delayed Wound Closure and union time assessed.Results:The mean age was 33.26+9.77 years and male were 74.0% and female were found 26.0%.Early wound closure was done in 42.3% while delayed wound closure was done in 57.7% of the patients. Union was achieved in most of the cases 71.5%, while remaining 28.5% patients were with delayed union/ non-union. Early wound closure group exhibited significant more union in 50 cases out of 88, p-value 0.001, while delayed union/ non-union was significantly higher in delayed wound closure group p-value 0.001.Conclusion: In Gustilo III-A open tibial shaft fractures, Early Wound Closure can be relied upon more as compared to delayed wound closure.Key Words: Gustilo IIIA tibia fracture. Wound closure, Union time
Objective: To evaluate the outcomes of wound closure: Early vs. Delayed; on union time of Gustilo III-A Tibial shaft fractures.
Study Design:Cross-sectional comparative study.
Place and Duration of Study:Department of Orthopedic Surgery & Traumatology at Liaquat University of Medical Health Sciences Jamshoro from 1stJanuary 2017 to 30thSeptember 2018.
Methodology:One hundred and twenty three cases with open Gustilo III-A diaphyseal fracture of Tibia with age ranging from 18 to 52 years of either sex were included in the study, while patients with co-morbids, host type B, C excluded from study. All the patients were categorized in two groups of Early & Delayed Wound Closure and union time assessed.
Results:The mean age was 33.26+9.77 years and male were 74.0% and female were found 26.0%.Early wound closure was done in 42.3% while delayed wound closure was done in 57.7% of the patients. Union was achieved in most of the cases 71.5%, while remaining 28.5% patients were with delayed union/ non-union. Early wound closure group exhibited significant more union in 50 cases out of 88, p-value 0.001, while delayed union/ non-union was significantly higher in delayed wound closure group p-value 0.001.
Conclusion: In Gustilo III-A open tibial shaft fractures, Early Wound Closure can be relied upon more as compared to delayed wound closure.
Key Words: Gustilo IIIA tibia fracture. Wound closure, Union time