FREQUENCY OF NON-UNION IN OPEN TIBIAL SHAFT FRACTURES PRESENTING IN TERTIARY CARE CENTER OF PUNJAB TREATED WITH AO FIXATOR

MZ SIDDIQ; MA RAZZAQUE; M ATIF; J AHMED; MU REHMAN; B AHMED

doi:10.54112/bcsrj.v2023i1.213

Authors

MZ SIDDIQ Department of Orthopedic Surgery, Aziz Bhatti Shaheed (DHQ) Teaching Hospital, Gujrat, Pakistan
MA RAZZAQUE Department of Orthopedic Surgery, BAT Hospital Multan, Pakistan
M ATIF Department of Orthopedic Surgery, King Khaled Hospital, Najran, Kingdom of Saudi Arabia
J AHMED Department of Orthopedic Surgery, Aziz Bhatti Shaheed (DHQ) Teaching Hospital, Gujrat, Pakistan
MU REHMAN Department of Orthopedic Surgery, BAM & DC Multan, Pakistan
B AHMED Department of Orthopedic Surgery, BAM & DC Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.213

Keywords:

Open tibial shaft fracture, Tibia fibula, Non-union, AO fixator

Abstract

This study aimed to evaluate the frequency of non-union in open tibial shaft fractures presenting in the Tertiary Care Centre of Punjab, treated with an AO fixator. A descriptive study was conducted in the Department of Orthopedics, Aziz Bhatti Shaheed Teaching Hospital, Gujrat & Bakhtawar Amin Hospital Multan from 01-12-2020 to 30-09-2021. A total of 93 cases were selected for the study. Demographic data of patients were noted. All the patients were managed by the same orthopedic department team, including the candidate led by the consultant, to keep results unbiased. Patients ranged between 18-70 years of age, with a mean age of 38.12±11.12 years. There were 65 males (69.9%) and 28 females (30.1%). 33 patients (35.5%) were admitted 24-48 hours after injury. 32 patients (34.4%) had a third upper fracture. Non-union was found in 39 patients (41.9%) and malunion in 2 patients (2.1%). Based on the results, the AO external fixator is a good and viable option for open tibial shaft fractures. This is a versatile, cost-effective, satisfactory, and reliable method of stabilization of open fractures.

Downloads

Download data is not yet available.

References

. Singh A, Hao JTJ, Wei DT, Lim CW, Murphy D, Thambiah J, et al. Gustilo [IIB Open Tibial Fractures: An Analysis of Infection and Non-union Rates. Indian J Orthop 2018;52:406-10.

Santos ADL, Nitta CT, Boni G, Sanchez GT, Tamaoki MJS, Reis FBD. Evaluation and Comparison of Open and Closed Tibia Shaft Fractures in a Quaternary Reference Center. Acta Ortop Bras 2018;26:194-7.

Duyos OA', Beaton-Comulada D, Davila-Parrilla A, Perez-Lopez JC, Ortiz K, Foy-Parrilla C, et at. Management of Open Tibial Shaft Fractures: Does the Timing of Surgery Affect Outcomes? J Am Acad Orthop Surg 2017;25:230-8.

Lua JYC, Tan VH, Sivasubramanian H, Kwek EBK. Complications of Open Tibial Fracture Management: Risk Factors and Treatment. Malays Orthop J 2017;11:18-22.

Lawal YZ, Ejagwulu FS, Salami SO, Mohammed S. Monolateral frame external fixators in the definitive management of open limb fractures in North-western Nigeria. Sub-Saharan Aft J Med 2016;3:137-41.

lobst CA, Liu RW. A systematic review of incidence of pin track infections associated with external fixation. J Limb Lengthen Reconstr 2016;2:6-16.

Mangukiya HJ, Mahajan NP, Pawar ED, Mane A, Manna J. Functional and radiological outcome in management of compound tibia diaphyseal fracture with AO monolateral fixator versus Limb reconstruction system. Journal of orthopaedics. 2018 Mar 1;15(1):275-81.8.

Sana Ullah, Salik Kashif, Bahadar Ali Khan, Awal Hakeem, Israr Ahmad, Muhammad Arif Khan. AO external fixator in the management of open fracture of tibia. RMJ 2016; 41(4): 459-61.

Khan TB, Shah ZA, Aslam N, Arif U. Complications of the Use of AO External Skeletal Fixator in the Treatment of Type - III Open Tibial Fractures. Ann King Edw Med Univ 2012;18:25-32

Milenkovic S, Mitkovic M, Mitkovic M. External fixation of segmental tibial shaft fractures. European Journal of Trauma and Emergency Surgery. 2020 Oct;46:1123-7.

Ekegren CL, Edwards ER, De Steiger R, Gabbe BJ. Incidence, costs and predictors of non-union, delayed union and mal-union following long bone fracture. International journal of environmental research and public health. 2018 Dec;15(12):2845.

Wildemann B, Ignatius A, Leung F, Taitsman LA, Smith RM, Pesántez R, Stoddart MJ, Richards RG, Jupiter JB. Non-union bone fractures. Nature Reviews Disease Primers. 2021 Aug 5;7(1):57.

Stewart SK. Fracture non-union: a review of clinical challenges and future research needs. Malaysian orthopaedic journal. 2019 Jul;13(2):1.

Tall M. Treatment of aseptic tibial shaft non-union without bone defect. Orthopaedics & Traumatology: Surgery & Research. 2018 Feb 1;104(1):S63-9.

Raducha JE, Swarup I, Schachne JM, Cruz Jr AI, Fabricant PD. Tibial shaft fractures in children and adolescents. JBJS reviews. 2019 Feb 1;7(2):e4.

Kojima KE, Ferreira RV. Tibial shaft fractures. Rev Bras Ortop. 2015;46:130-5.

Orthopaedic Trauma Association Committee for Coding and Classification.Fracture and dislocation compendium. J Orthop Trauma. 1996;10 Suppl 1:v-ix, 1-154.

Swiontkowski MF, Agel J, McAndrew MP, Burgess AR, MacKenzie EJ. Outcome validation of the AO/OTA fracture classification system. J Orthop Trauma. 2000;14:534–41.

Burwell HN. Plate fixation of tibial shaft fractures. A survey of 181 injuries. J Bone Joint Surg Br. 1971;53:258–71.

McQueen MM, Gaston P. Court-Brown CM. Acute compartment syndrome. Who is at risk? J Bone Joint Surg Br. 2000;82:200–3.

McQueen MM, Christie J, Court-Brown CM. Acute compartment syndrome in tibial diaphyseal fractures. J Bone Joint Surg Br. 1996;78:95–8.

Abraham P, Leftheriotis G, Saumet JL. Laser Doppler flowmetry in the diagnosis of chronic compartment syndrome. J Bone Joint Surg Br. 1998;80:365–9.