Open Fracture Tibia
Conditions
Brief summary
Road traffic accidents (RTA) is the most common cause of open fractures of long bones, increase in RTA leading to increase of complex non-unions incidence. the Participants are usually undergoing multiple surgeries for healing or to eradicate infection, which in turn leading to loss of bone and soft tissues and require skin grafting, muscle pedicle graft or bone grafting. Sometimes the Participants end up with deformity, limb length discrepancy, joints stiffness, disuse osteoporosis and muscle atrophy after management
Interventions
PROCEDUREintramedullary nail with Limb Reconstruction System
bone transport by Limb Reconstruction System over intramedullary nail on fracture tibia
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age from 18-60 years old. * Open Grade II, Open Grade III (a & b) diaphyseal fractures of Tibia (judged after primary and/or secondary to debridement). * Bone defect \< 10 cm. * Patients with Injury severity score (ISS) \< 17.
Exclusion criteria
* Massive bone defect \> 10 cm. * Patients with ISS \> 17, polytrauma patient. * Age \< 18 years old or \> 60 years old. * Associated vascular injury ischemic limb.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ASAMI Scoring System | 1 year | excellent : active , no limping good : active with one or more of : limp , stiffness , significant pain Fair : active with at least three of the following : limping , stiffness , significant pain , reflex sympathetic syndrome Poor : Inactive Failures : Amputations |
Outcome results
None listed