Hybrid Fixator-Fixation modality in compound comminuted Fractures of Tibia

Abstract

Background: Tibial plateau fractures, Tibial plafond fractures, proximal 1/3 fractures of tibia are serious type of injuries which are found to be difficult to treat. The injury is caused by high velocity RTA which apart from causing fractures, cause extensive damage to soft tissue envelop. Aim: To study functional and radiological outcome of compound comminuted fractures of proximal and distal third tibia. Method: This is a descriptive longitudinal study carried out in 15 patients operated for hybrid external fixation for compound comminuted fractures of proximal and distal third tibia. Every patient was assessed for common fracture site, healing time and functional outcome. Results: Out of 15 patients 13 has good result 1 had varus deformity and average fracture healing time with full weight bearing walking was 20 to 24 weeks. Conclusion:-The comminuted fractures of the proximal third or the distal third fractures pose serious problems due the injury/ degloving of the soft tissue envelop. The risk of infection secondary to internal fixation is very high. Also it has been noted to have high incidence of post injury residual deformity, & knee joint stiffness. Hence less invasive method of hybrid fixator was tried which would minimize these problems and allow the biological healing of the fracture. This technique is simple, user friendly, & can allow adjustment even after frame application.