External Fixation as a Primary and Definitive Treatment for Tibial Diaphyseal Fractures: a Retrospective Longitudinal Study
Asfandyar Khan, Sayed Najmul Hassan, Muhammad Farhan Farhat, Arsalan Riaz, Basit Mukhtar, Akbar Ali
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ABSTRACT
Aim:To assess the
potency of unilateral external fixation as a proper cure for tibial fractures.
Study design: A retrospective longitudinal study
Place and duration: This
study was conducted at Pakistan Institute of Medical Sciences
(PIMS) Islamabad Pakistan from August
2020 to August 2021.
Methodology:Treatment
of 225 tibial shaft fractures was done, in which closed fractures took 22 weeks
and open 26 weeks for complete fusion. All fractures were fixed with AO fixator
Results:Data of 210
patients was evaluated. Treatment of 225
tibial shaft fractures was done, in which closed fractures took 22 weeks and
open 26 weeks for complete fusion. A total of 17 nonunion patients were
observed while there were 22 delayed fusions, 5 malunion, 59 pin infections,
and 4 osteomyelitis, 43 patients went through the re-operation process.
Conclusion:Four
patients had fat embolism while pulmonary embolism was present in six and
venous thrombosis in 15 patients. The ultimate treatment in 88.0% of patients
was external fixation. If there is a no formation of callus formation,
reoperation should be carried out so unilateral external fixation is the
preferred treatment for tibial fractures.
Keywords: External Fixation, Tibial Diaphyseal Fractures, treatment
ABSTRACT
Aim:To assess the
potency of unilateral external fixation as a proper cure for tibial fractures.
Study design: A retrospective longitudinal study
Place and duration: This
study was conducted at Pakistan Institute of Medical Sciences
(PIMS) Islamabad Pakistan from August
2020 to August 2021.
Methodology:Treatment
of 225 tibial shaft fractures was done, in which closed fractures took 22 weeks
and open 26 weeks for complete fusion. All fractures were fixed with AO fixator
Results:Data of 210
patients was evaluated. Treatment of 225
tibial shaft fractures was done, in which closed fractures took 22 weeks and
open 26 weeks for complete fusion. A total of 17 nonunion patients were
observed while there were 22 delayed fusions, 5 malunion, 59 pin infections,
and 4 osteomyelitis, 43 patients went through the re-operation process.
Conclusion:Four
patients had fat embolism while pulmonary embolism was present in six and
venous thrombosis in 15 patients. The ultimate treatment in 88.0% of patients
was external fixation. If there is a no formation of callus formation,
reoperation should be carried out so unilateral external fixation is the
preferred treatment for tibial fractures.
Keywords: External Fixation, Tibial Diaphyseal Fractures, treatment