Outcome of AO External Fixator for Open Tibial Fractures

Abstract

Objectives: The purpose of the study was to evaluate the outcome of open tibial shaft fractures (Gustilo IIIA/B) with AO External Fixator & to document complications

Study Design: Perspective study

Place and Duration of Study: This study was conducted at DHQ teaching Hospital, Gujranwala& at Fazil Memorial Hospital, Gujranwala from November 2010 to November 2012

Material & Methods: 50 patients with open tibial shaft fractures were treated with AO External Fixator. Open fractures were classified according to Gustilo Anderson Criteria & wounds with IIIA & IIIB were selected. Outcome was determined by the rate of union, while nonunion, pin tract infection, pin loosening & osteomylitis were recorded as complications. The follow up period was 08 months.

Results: Out of fifty cases of open tibial shaft fractures, 38 (76%) were men & 12 (24%) were Ladies. Mean age was 35.2 (8-67), 22 (44%) had Gustilo IIIB wound while 28 (56%) had Gustilo IIIA injuries. Pin tract infection & pin loosening rate were 12% & 16% respectively.  Nonunion was seen in 10% of the cases. In 41 (82%) of the cases   fracture united and average union time was about 26.5 weeks. No case of osteomylitis seen.

Conclusion: External Fixator is simple & effective treatment for open tibial fractures.