Ilizarov Fixation, Open Type III (A&B)Pediatric and Adolescent Tibial Shaft Fractures
Conditions
Brief summary
The Ilizarov method is our usual treatment of choice for open, complex, physeal or unstable fractures and for patients in whom non-operative or other treatments have failed .
Detailed description
Tibial fractures are the third most common injury involving a long bone in children. Most occur in the distal third, and approximately 10% are open.High-energy injuries with soft tissue compromise or segmental bone loss, present specific challenges. There is a significant risk of nonunion (7.5%),malunion (17%),infection (10%),and loss of reduction (32%).Many forms of treatment are available including a cast, elastic nailing, and external fixation using either a monolateral fixator, or a circular frame . In complex adult tibial fractures, evidence for the effectiveness of definitive external fixation using a circular frame continues to emerge.Fixators may be used for the correction of tibial deformities in children.Currently, only relatively small case series have been published describing their use for trauma in children and adolescents, albeit with good results.
Interventions
PROCEDUREIlizarov
Ilizarov fixation in open type III pediatric and adolescent tibial shaft fractures
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
8 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 8-16 years old. * Diagnosed to have open grade IIIA and IIIB tibial fracture according to Gustilo-Anderson fracture classification system. * Fractures of the shaft of the tibia or distal tibial fractures involving the ankle joint and were complicated by bone and/or soft-tissue loss of more than 3 cm. * An external fixator could be placed in the proximal lower extremity, distal lower extremity, or foot, and normal bone segments available for osteotomy. * Admitted in the duration between 1st of January 2022 until end of December 2023.
Exclusion criteria
* Patients requiring free flap or local flap transfer to close the wound. * Open grade IIIC tibial fractures (with vascular injury). * Loss to follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Union of tibial fracture | 1 year | Assess Union of the fracture using radiographic union scale in tibial fracture(RUST) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determine alignment | 1 year | Determine alignment using slit scanogram for both Lower limbs |
| Patient reported outcome measures | 1 year | Patient reported outcome measures using Stanmore limb reconstruction score (SLRS) |
Countries
Egypt
Contacts
Primary ContactKhaled Gamal
Outcome results
None listed