Vol. 5, Issue 11 (2019)
Evaluation of Ilizarov technique in the treatment of open fractures of Tibia
Author(s): Md Humayun Reza, MAA Shameem, Md Delower Hossain, Md Rajib Mahmud, Md Mahmudul Hasan, Abdul Matin
Abstract: Introduction: Open fracture of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Illizarov method is a popular method of treating open tibial fractures after debridement and open reduction. It is comparatively a newer method and has many advantages. Aim of the study: The aim of this study was to evaluate the Ilizarov Technique in the treatment of open fractures of tibia. Methods: This was an observational prospective study. The study was conducted in the Department of Orthopedics of Shaheed M. Monsur Ali Medical College, Sirajganj, Bangladesh during the period from January 2017 to December 2018. In total 40 patients with tibial fractures were selected as the study population. Before starting the intervention the written consent of the participants was taken and this study was approved by the ethical committee of the respective medical college. Results: Out of total 40 participants, 29 (72.50%) were males and 11 (27.50%) were female. In analyzing mode of injuries we found highest 87.5% participants were from road accidents followed by 3% from sports injury and rest only 5% from general falls. The duration of treatment with the fixator was 12-23 weeks (average 16 weeks). Nineteen patients wore a PTB cast for an additional period of 4 weeks. In our study total 40 cases were debrided on the same day and stabilized with Ilizarov ring faxator after a period of 5 to 12 days from the date of injury. The operation time ranged from 90 minutes to 120 minutes (Mean 102±4 minutes). Conclusion: No case developed deep infection, non-union or unacceptable mal-union. The Ilizarov device is used worldwide for the treatment of several types of fractures. The construct is stable and enables the patient to bear weight on the affected limb a short time after the surgery, even in cases of comminuted fractures. We recommend for more use of Ilizarov technic.