Plaster of Paris versus External Fixator in the Treatment of Open Fracture Shaft of Tibia | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 4, December 2016, Pages 208-211 | ||
| Author | ||
| Abdul Jabbar R. Abd | ||
| Abstract | ||
| Background: Open fractures are surgical emergencies that perhaps should be thought of as incomplete amputations. Many eras of its treatment had elapsed. Compound fracture shaft of tibia is common and important one and it is very important to choose the best way to manage and declare the advantages and disadvantages of each modality Objectives: The purpose of this study is to determine whether plaster of Paris or external skeletal fixator is more suitable for use in the fixation of compound fracture shaft of tibia. Patient and methods: Fifty patients (52 legs) with compound fracture shaft of tibia were subjected to a prospective comparative study. Each patient was managed by using plaster of Paris or external skeletal fixator and followed up to record complications accompanying these two methods. Results: With plaster of Paris we got the following complications; wound infection occurred in 26.7% of the injuries, Compartment Syndrome in 6.7%, Re displacement in 16.7%, Joint stiffness in 13.3%, Nonunion in 10%, Re fracture in 3.3%, and Plaster breakdown in 33.3% of the injuries. With external skeletal fixator we got the following complications; Wound infection occurred in 27.2% of the injuries, Compartment Syndrome in 4.5%, Re displacement in 9%, Joint stiffness in 22.7%, Nonunion in 18.1%, Re fracture in 9%, Pin tract infection in 54,5%, and Pin loosening in 13.6%. Conclusions: Several complications accompanied the use of plaster of Paris or external skeletal fixator; some of them are common for both and some are specific to each. So there is no much difference in using these two modalities in the fixation of such fracture regarding these complications and the preference of one on the other will depend on other factors. | ||
| Keywords | ||
| Plaster of Paris; External Fixator; Open Fracture; Tibia | ||
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