Outcome of Two Ring Hybrid Ilizarov Fixator in the Management of Proximal Tibial Fractures in Adults
Mohammad Younas, Syed Usman Shah, Naseer Ullah Khattak, Amina Gul Shehzar Khan, Sultan Shah, Muhammad Adeel, Syed Qasim Ali Shah
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ABSTRACT
Objective: The aim of this study
is to determine the outcomes of using two ring hybrid ilizarov fixator for the
management of proximal tibial fractures in adult patients.
Study Design: Descriptive Study
Place and Duration:
Methods: There were 60 patients
of both genders were presented in this study. Patients were aged between 25-65
years. Informed written consent was taken from all the patients for detailed
demographics age, sex, body mass index and cause of fracture. All the patients
had proximal tibial fractures were included, type of fractures were assessed by
schatzker technique. Outcomes were assessed by using Rasmussen score in terms of excellent, good and fair.
Radiological outcome was measured by fracture healing on radiography. Student
t-test and chi square test was used. SPSS 24.0 was used to analyze all of the
data.
Results: There were 45 (75%)
patients were males and 15 (25%) were female patients. Mean age of the patients
was 42.3±7.43 years with mean BMI 25.07±6.29 kg/m2. Falling was the
most common cause of fracture found in 33 (55%), followed by road traffic
accidents in 17 (28.3%) and 10 (16.7%) fractures by assault. Majority of the
patients were schatzker type VI fractures 34 (56.7%) followed by schatzker type
V fractures in 11 (18.3%), metaphyseal
fractures found in 8 (13.3%) cases and proximalone third shaft
fractures in 7 (11.7%) cases. Mean surgery time was 4.2±6.17 hours and mean
union time of fractures was 19.8±6.61 weeks. According to Rasmussen score 39 (65%)
cases showed excellent results with knee flexion more than 90 degree, good
results found in 17 (28.3%) patients and fair results in 4 (6.7%) cases. Pin
tract infection was the most common complication found in 12 (20%) cases,
followed by compartment syndrome in 4 (6.7%) and delayed union in 3 (5%). No
any poor outcome was assessed in this study.
Conclusion: We concluded in this
study that the use of two ring hybrid ilizarov fixator in the management of
proximal tibial fractures were effective and useful in terms of excellent and
good outcomes of knee flexion. The ilizarov approach allowed for early
definitive treatment with a low rate of complications and a favourable clinical
outcome.
Keywords: Proximal Tibial fracture, Ilizarov Fixator,
Shatzker, Rasmussen score, Outcomes