Definitive Management of Open Tibia Fractures Using Limb Reconstruction System
Introduction: Open fractures are treated as surgical emergency and early administration of intravenous antibiotic coupled with early irrigation and debridement decreases the infection rate dramatically. Limb Reconstruction System (LRS) is a unilateral rail system which consists of Shanz pins, ra...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/8124/17978_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Mahantesh Yellangouda Patil Srinath Myadam Gupta Sri Krishna Chaitanya Kurupati Saumya Agarwal Vishal Chandarana |
| author_facet | Mahantesh Yellangouda Patil Srinath Myadam Gupta Sri Krishna Chaitanya Kurupati Saumya Agarwal Vishal Chandarana |
| author_sort | Mahantesh Yellangouda Patil |
| collection | DOAJ |
| description | Introduction: Open fractures are treated as surgical emergency
and early administration of intravenous antibiotic coupled with
early irrigation and debridement decreases the infection rate
dramatically. Limb Reconstruction System (LRS) is a unilateral
rail system which consists of Shanz pins, rail rods and sliding
clamps. It is specifically designed to enable the surgeon to
perform simple and effective surgery as it offers rigid fixation of
fracture fragments, allowing early weight bearing and reduces
economic burden.
Aim: To determine the efficacy of Limb Reconstruction System
for treatment of compound tibia fractures.
Materials and Methods: A prospective study was carried out
where in 54 cases out of 412 compound tibia fractures having
Modified Gustilo Anderson Type IIIA and IIIB with a mean age of
42±5 years were treated using LRS over a period of 26 months.
Limb reconstruction system was used in acute docking mode
or with corticotomy and bone transport was done depending
upon the bone loss. The soft tissue condition was assessed
and split thickness skin grafting and flap repairs were done as
per the need. Clinical and radiological assessment was done
at every follow-up. Bony and functional assessment was done
by Association for the Study and Application of the Methods of
Illizarov (ASAMI) criteria.
Results: Among 54 patients, bony results as per ASAMI score
were excellent in 36, good in 14, fair in 2 and poor in 2 patients.
Functional results were excellent in 43, good in 7, fair in 4
patients. The average fracture union time was 8 months. Postsurgery patient satisfaction was excellent since fixation allowed
weight bearing immediately. Average hospital stay was 7 days
and financial burden was reduced by 40% as compared to
multi staged surgery. The average time of return to work was
20 days.
Conclusion: LRS is an easy, simple and definitive surgical
procedure that allows immediate full weight bearing walking.
It reduces hospital stay, is cost effective with excellent patient
compliance and can also be used for bone lengthening/
transportation. |
| first_indexed | 2024-12-19T03:27:18Z |
| format | Article |
| id | doaj.art-5dcc46f9e6564867aedee43997da6863 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-19T03:27:18Z |
| publishDate | 2016-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-5dcc46f9e6564867aedee43997da68632022-12-21T20:37:35ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-07-01107RC01RC0410.7860/JCDR/2016/17978.8124Definitive Management of Open Tibia Fractures Using Limb Reconstruction SystemMahantesh Yellangouda Patil0Srinath Myadam Gupta1Sri Krishna Chaitanya Kurupati2Saumya Agarwal3Vishal Chandarana4Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College (Karnataka Lingayat Education University) and Dr. Prabhakar Kore Hospital and Medical Research Center, Nehru Nagar, Belagavi, Karnataka, India.Post Graduate, Department of Orthopaedics, Jawaharlal Nehru Medical College (Karnataka Lingayat Education University) and Dr. Prabhakar Kore Hospital and Medical Research Center, Nehru Nagar, Belagavi, Karnataka, India.Post Graduate, Department of Orthopaedics, Jawaharlal Nehru Medical College (Karnataka Lingayat Education University) and Dr. Prabhakar Kore Hospital and Medical Research Center, Nehru Nagar, Belagavi, Karnataka, India.Post Graduate, Department of Orthopaedics, Jawaharlal Nehru Medical College (Karnataka Lingayat Education University) and Dr. Prabhakar Kore Hospital and Medical Research Center, Nehru Nagar, Belagavi, Karnataka, India.Post Graduate, Department of Orthopaedics, Jawaharlal Nehru Medical College (Karnataka Lingayat Education University) and Dr. Prabhakar Kore Hospital and Medical Research Center, Nehru Nagar, Belagavi, Karnataka, India.Introduction: Open fractures are treated as surgical emergency and early administration of intravenous antibiotic coupled with early irrigation and debridement decreases the infection rate dramatically. Limb Reconstruction System (LRS) is a unilateral rail system which consists of Shanz pins, rail rods and sliding clamps. It is specifically designed to enable the surgeon to perform simple and effective surgery as it offers rigid fixation of fracture fragments, allowing early weight bearing and reduces economic burden. Aim: To determine the efficacy of Limb Reconstruction System for treatment of compound tibia fractures. Materials and Methods: A prospective study was carried out where in 54 cases out of 412 compound tibia fractures having Modified Gustilo Anderson Type IIIA and IIIB with a mean age of 42±5 years were treated using LRS over a period of 26 months. Limb reconstruction system was used in acute docking mode or with corticotomy and bone transport was done depending upon the bone loss. The soft tissue condition was assessed and split thickness skin grafting and flap repairs were done as per the need. Clinical and radiological assessment was done at every follow-up. Bony and functional assessment was done by Association for the Study and Application of the Methods of Illizarov (ASAMI) criteria. Results: Among 54 patients, bony results as per ASAMI score were excellent in 36, good in 14, fair in 2 and poor in 2 patients. Functional results were excellent in 43, good in 7, fair in 4 patients. The average fracture union time was 8 months. Postsurgery patient satisfaction was excellent since fixation allowed weight bearing immediately. Average hospital stay was 7 days and financial burden was reduced by 40% as compared to multi staged surgery. The average time of return to work was 20 days. Conclusion: LRS is an easy, simple and definitive surgical procedure that allows immediate full weight bearing walking. It reduces hospital stay, is cost effective with excellent patient compliance and can also be used for bone lengthening/ transportation.https://jcdr.net/articles/PDF/8124/17978_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdfbone lossbone transportcompound tibia fracturecorticotomyexternal fixatorpin tract infection |
| spellingShingle | Mahantesh Yellangouda Patil Srinath Myadam Gupta Sri Krishna Chaitanya Kurupati Saumya Agarwal Vishal Chandarana Definitive Management of Open Tibia Fractures Using Limb Reconstruction System Journal of Clinical and Diagnostic Research bone loss bone transport compound tibia fracture corticotomy external fixator pin tract infection |
| title | Definitive Management of Open Tibia Fractures Using Limb Reconstruction System |
| title_full | Definitive Management of Open Tibia Fractures Using Limb Reconstruction System |
| title_fullStr | Definitive Management of Open Tibia Fractures Using Limb Reconstruction System |
| title_full_unstemmed | Definitive Management of Open Tibia Fractures Using Limb Reconstruction System |
| title_short | Definitive Management of Open Tibia Fractures Using Limb Reconstruction System |
| title_sort | definitive management of open tibia fractures using limb reconstruction system |
| topic | bone loss bone transport compound tibia fracture corticotomy external fixator pin tract infection |
| url | https://jcdr.net/articles/PDF/8124/17978_CE(RA1)_F(T)_PF1(ROAK)_PFA(AK)_PF2(PAG).pdf |
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