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Scholars Journal of Applied Medical Sciences | Volume-11 | Issue-08
Evaluation of Ilizarov Technique in the Treatment of Open Fractures of Tibia: A Prospective Observational Study
Dr. Anjan Lal Ghosh, Dr. S. K. Ashraf Ullah
Published: Aug. 29, 2023 | 83 107
DOI: 10.36347/sjams.2023.v11i08.034
Pages: 1582-1586
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Abstract
Background: Open fracture of the tibia is a very common occurrence in the orthopedic treatment arena. Ilizarov method is comparatively a newer method for the management of open fractures of the tibia after debridement and open reduction. In Bangladesh, we do have not enough research-oriented data regarding the effectiveness and outcomes of the Ilizarov technic. Aim of the study: The aim of the study was to assess the effectiveness and outcomes of the Ilizarov technique in the treatment of open fractures of the tibia. Methods: This was a prospective cross-sectional study that was conducted in the Department of Orthopedics, Northern International Medical College Hospital, Dhaka, Bangladesh from June 2021 to 21 July 2022. In total 39 patients with tibial open fractures were enrolled in this study as the study subjects. A convenient purposive sampling technic was used in sample selection. Well-known Karlstrom and Olerud criteria were used in assessing the outcomes of this treatment procedure. All the demographic, as well as clinical information, was recorded. All data were processed, analyzed and disseminated by using the MS Office program. Results: The male-female ratio of the participants was 1.6:1. The highest number of patients (49%) were with type II open fracture followed by 36% with type I and 15% with type III open fracture; 64% patients had middle location fractures. In the highest number of patients (79%) road traffic accidents were the mode of injury. According to the Karlstrom and Olerud score, among the total of 39 participants, the functional outcomes were found excellent in 72% (n=27), good in 18% (n=6), fair in 8% (n=2) and poor in 3% (n=1). Conclusion: Ilizarov technique is an effective technic for the management of open fractures of tibia. Prompt healing, less blood loss and patient convenience are the potential features of the Ilizarov technique.