Evaluation the results of Ilizarov External Fixator in Management of Distal Tibial Fractures | ||
| Minia Journal of Medical Research | ||
| Volume 31, Issue 1, January 2020, Pages 43-47 PDF (199.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221388 | ||
| Authors | ||
| Ahmed . M. A Othman1; Mohamed A. Selim Laklouk2; Mohamed M. Azmy2; Osama N. Ali Wali ElDeen1 | ||
| 1Department of Orthopaedic, Faculty of Medicine, Minia University | ||
| 2Department of Orthopaedic, Faculty of Medicine, Minia University. | ||
| Abstract | ||
| The management of displaced distal tibial fractures is still controversial. The different internal fixation techniques are often burdened by relatively high complication rates. Minimally invasive techniques with ring fixators have been introduced as an alternative allowing immediate reduction and stabilization, avoiding a staged protocol. The aim of this prospective study was to analyze the clinical and radiographic outcome the Ilizarov technique in patients with distal tibial fractures. Twelve patients with distal tibial fractures treated with the Ilizarov technique, the mean follow up period was 12 months (ranged from 6 to 24 months). Depending on the type of fracture, 3 or 4 rings were used. Unrestricted weight-bearing was allowed in all cases at 6 weeks. Pre- and post operatively conventional radiographs, post-operative pain assessment and complications were evaluated. Clinical outcomes were evaluated according to the ankle-hindfoot score devised by the American Orthopaedic Foot and Ankle Society (AOFAS). No patient developed compartment syndrome or deep venous thrombosis. Pin infections were frequent, but they were mostly superficial and were treated with antibiotics and local antiseptics. 2 cases of malunion occurred, one of them required ankle fusion, the fixator was removed after a mean of 20 weeks (range 12–28). The clinical outcome according to AOFAS score was excellent in 6 patients, good in 3, fair in 2 and poor in 1. | ||
| Keywords | ||
| Ilizarov; ring fixator; Distal tibia; Pin tract infection | ||
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