MANAGEMENT OF JUXTA-ARTICULAR FRACTURES OF TIBIA MANAGED WITH HYBRID EXTERNAL FIXATOR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 51
Abstract
BACKGROUND Juxta-articular fractures of tibia are most serious and complicated injuries, which are found to be very difficult to fix and manage. These types of fractures usually occur due to RTA and fall from height; ultimately those fractures are considered as high velocity injuries, which is associated with extensive damage of soft tissue and vascular disturbances. The aim of the study was to assess the functional outcome of juxta-articular fractures of the tibia using hybrid external fixator for closed and compound fractures. MATERIALS AND METHODS This is a prospective study carried out on 23 patients, who visited the emergency OP in Chengalpattu Medical College and Hospital, operated with hybrid external fixator for closed and compound fractures of juxta-articular fractures of tibia. All patients were assessed radiologically and clinically (union time, functional outcome) followed up sequentially. RESULTS The functional outcome and union of the proximal and distal juxta-articular fracture of the tibia was evaluated and operated with hybrid external fixator. The fracture of the proximal tibia united with an average of 14 - 18 weeks (16.2 weeks). The fractures of distal tibia united with an average of 16 - 20 weeks (18.3 weeks) with minimal complications. CONCLUSION Hybrid external fixator systems are very useful in fixing the comminuted and compound juxta-articular fractures of the proximal and distal tibia. Hence, less invasive method of hybrid external fixator was tried which would minimise the complications, promote the fracture’s further healing and stabilise the fracture, help early weight bearing and provide the full range of movement.
Authors and Affiliations
Murugasarathy Sambandam, Duraisamy Ezhilmaran, Kalaiyarasan Thamizharasan, Maharajothi Paramasivam
Keywords
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- EP ID EP220055
- DOI 10.14260/Jemds/2017/841
- Views 97
- Downloads 0
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