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Journal of Orthopedic Education 9(2):p 133-142, May-August 2023. | DOI: 10.21088/joe.2454.7956.9223.3
Original Article
To Study the Clinical and Radiological Outcomes of Primary Internal Fixation in Gustilo Anderson Grade III A and III B Compound Fractures of Tibia
Ajay Sabhnani, Neeraj Jain, Sparsh Jain, Manish Patidar
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Journal of Orthopedic Education 9(2):p 133-142, May-August 2023. | DOI: 10.21088/joe.2454.7956.9223.3
How Cite This Article:
Jain N, Jain RK, Sabhnani A, et al. To study the clinical and radiological outcomes of primary internal fixation in Gustilo Anderson grade III A and III B compound fractures of tibia. J Orth Edu. 2023;9(2):133–42.Timeline
Received : February 23, 2023
Accepted : April 04, 2023
Published : May 30, 2023
Abstract
Tibial fractures are the commonest long bone fractures encountered by orthopaedic surgeons, because one third of the tibial surface is subcutaneous throughout most of its length, Tibia is the commonest bone for open fractures than any other major long bone. The management of open tibial fractures is often difficult, and the optimum method of treatment remains a subject of controversy as these fractures are associated with high prevalence of complications. Intramedullary nails have been used successfully in the treatment of open tibial fractures after thorough debridement and and have been associated with low rates of complications and early mobilization. This led us to design a trial, to study the results of primary internal fixation in the treatment of compound fractures of the tibia.
Methods: Thirty patients who had open fractures of tibia were treated with wound debridement and primary internal fixation at Sri Aurobindo Medical College & P.G. Institute, Indore (M.P.). Patients more than 18 years of age with open fractures of Tibia with Type III A and B according to Gustilo Anderson classification are included. Our objectives is to evaluate the functional and radiological outcomes using Johner and Wruh’s criteria at 6 months and to assess the complications associated with study.
Results: Final assessment in our series was done at 6 months using Johner & Wruhs criteria. Excellent, good, fair and poor were the grading used for Functional Outcome. In our study higher proportion 63.3% was for excellent, followed by 30.0% for good, lower proportion 3.3% was for fair & poor respectively. The study was associated with very low rate of complications.Conclusion: We recommend early extensive debridement, aggressive antibiotic therapy and primary stabilization followed by early wound coverage if required. Advantage of this study in addition to early joint motion, early weight bearing allows earlier return to work.
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There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Jain N, Jain RK, Sabhnani A, et al. To study the clinical and radiological outcomes of primary internal fixation in Gustilo Anderson grade III A and III B compound fractures of tibia. J Orth Edu. 2023;9(2):133–42.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| February 23, 2023 | April 04, 2023 | May 30, 2023 |
DOI: 10.21088/joe.2454.7956.9223.3
Keywords
Open fracturePrimary Internal FixationTraumaGustilo Anderson IIIWoundIntramedullary nailingSearch for Similar Articles
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Timeline
| Received | February 23, 2023 |
| Accepted | April 04, 2023 |
| Published | May 30, 2023 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
