الفهرس | Only 14 pages are availabe for public view |
Abstract The tibial diaphysis is the most frequently fractured long bone. Open fractures are common especially in the middle one third of its length as it is subcutaneous. Distal one-third has a deficient blood supply and a fracture in this area is known for delayed union and nonunion. The optimal treatment of high energy tibial fractures remains controversial and a challenging orthopaedic problem. The treatment of these severe injuries ranges from non-operative to operative or a combination of these techniques depending on soft tissue damage, anatomical location of the fracture, articular surface involvement and bone defects. Currently, non-surgical procedures like using casts, brace or interventional attempts like inserting of plate, intramedullary nailing and external fixators are used for treatment of tibial diaphyseal fractures. The Ilizarov apparatus have been used in the treatment of complex high energy tibial fractures because of its ability for multilevel tibial fracture stabilization with minimal disruption of the soft tissue, also Ilizarov technique has many advantages over conventional orthopedic treatment of fractures as permitting accurate reduction and alignment of comminuted and articular fractures. Weight bearing and joint range of motion can begin very early. It also permits secondary correction without further surgical invasion. It can be used very effectively in patients of polytrauma. In this study twenty one legs with high energy tibial diaphyseal fractures was treated by Ilizarov external fixator at Tanta University Hospital during the period from January 2016 to June 2017. |