Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 23046
MANAGEMENT OF DIFFICULT FRACTURE OF TIBIA BY ILIZAROV TECHNIQUE
RAJESH RAJULE, rohit LUTHRA, vishnu YADKIKAR
PRAVARA MEDICAL COLLEGE, ahmednagar (INDIA)
ABSTRACTMANAGEMENT OF DIFFICULT FRACTURE OF TIBIA BY ILIZAROV
TECHNIQUE In this era of high velocity trauma, injuries resulting in severe bone
loss & soft tissue damage are very common. Problem is increased due to infection &
non union. We have included following fractures as difficult fracture. I]
Compound , comminuted fracture of tibia. II] Fracture of tibia with soft tissue &
bone loss. III] Severely comminuted diaphysial fracture of tibia with
extension into neighboring joint i.e. Pilon fracture & tibial condyle fracture.
IV] Infection. In such difficult fracture as mentioned above, use of any other modality
of treatment such as interlock nailing, dynamic compression plating & external fixator
does not remain, a full proof management. In such situations, we have used Ilizarov
technique. We have done 60 cases in last 2 years at Pravara rural hospital, Loni &
got good results in them. This technique has advantage like three dimensional
fixation of fracture, use of controlled distraction osteogenesis, early mobilization of
adjacent joint & partial weight bearing as early as possible. In our study, we found
that on an average ring frame was used for 3 to 4 months. The results were
encouraging, yet we have given PTB caliper to these pts after removal of frame.
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