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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 9, Sept 2014 pp 556-560
Research Article
Outcome of type III open tibal fracture
Sarang Vyawahare1, Abdul Naser2, Rajeev Mohagaonkar3, Uday Phute4
1,2,3,4 Orthopaedic Consultant, Seth Nandlal Dhoot Hospital, Aurangabad, Maharashtra, INDIA.
Abstract
Introduction: During this automobile era Road traffic accident becoming more and more common. Approximately more than 4.5 million open fractures occur per year in India. Tibia is the commonest site of open fractures. These injuries often result in extensive damage to soft tissue and bone. Severe open tibia fractures when associated with vascular injuries, present major challenges in management. The decision to amputate or salvage can often be difficult one even for experienced surgeon. The use of metallic plate, external fixation and intramedullary nailing are under investigation and we are in process of involving consensus. The present study was conducted to find outcome of Gustilo Anderson’s type-III open tibial fractures in term of union time, amputation rate and was carried out in department of Orthopaedics of Seth Nandlal Dhoot Hospital, Aurangabad. The study was planned to evaluate the results of 50cases of Gustilo Anderson’s type III open tibial fractures. Conclusion: Aggressive debridement, skeletal stabilization, early soft tissue coverage and timely bone graft are needed for type III open fractures of tibia to unite. As soft tissue injury increases bone union time and amputation rate increases. The choice of implant depends upon the condition of the soft tissue for skeletal stabilization. Gustilo Anderson classification gave good guide line for prognostic outcome of type III tibial fractures.
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