Comparative outcome study of the management of open tibia shaft fractures using Ilizarov frame fixator and linear rail system at University College Hospital, Ibadan, Nigeria.

IF 2.6 3区 医学 Q2 ORTHOPEDICS
International Orthopaedics Pub Date : 2025-08-01 Epub Date: 2025-06-04 DOI:10.1007/s00264-025-06569-2
Mbanefo Francis Onyemelukwe, Michael Oluyinka Okunola, A M Owoola, Ajibola Babatunde Oladiran, Imonichei I Adeoye-Sunday, Abraham A Anejukwo, Richard A Omoyeni, Olugboyega A Oyewole, Mosimabale J Balogun, Tolulope O Ogunrewo, Oluwasegun A Aremu
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引用次数: 0

Abstract

Background: Management of Open tibia shaft fractures utilizing the conventional protocol is usually cumbersome; involves several operative procedures and longer periods of hospitalization. The use of external fixators for the definitive management of open tibia shaft fractures has been promising. The Ilizarov frame and linear rail system (LRS) are the commonly used options since they are comparable in efficacy and adaptable in the management of open tibia shaft fractures. The study objective is to determine and compare for any significant difference in the mean radiological union time, union rate, bone outcomes and functional outcomes noted in the management of patients with open tibia shaft fractures using Ilizarov frame fixator and linear rail system (LRS) in Ibadan, Nigeria.

Research method: This is a prospective study involving thirty (30) patients of both sexes, divided into two (2) groups; Ilizarov frame fixator group and LRS group. All patients had open tibia shaft fractures of Gustillo-Anderson Class (GA II- IIIB). The radiological union time was derived from the length of time in the fixator during which radiological union was confirmed, while the bone and functional outcomes were assessed using the ASAMI criteria.

Result: Union was achieved in 27 participants while three (2 in LRS group and 1 in Ilizarov group) had non-union. The union rate was 86.7% for the LRS group and 93.3% for the Ilizarov group. The mean radiological union time was 6.5 ± 1.8 months in the LRS group and 6.4 ± 2.1 months in the Ilizarov group. The bone outcomes showed that in the LRS group, 66.7% had excellent, 20% had good and 13.3% had poor outcomes while the Ilizarov group had 53.3% excellent, 40% good and 6.7% poor outcomes. The functional outcome showed that in the LRS group 53.3% had excellent, 40% good and 6.7% fair outcomes while in the Ilizarov group, 40% excellent, 46,7% good and 13.3% fair outcomes. There is no significant difference noted in the mean radiological union time, union rate, bone and functional outcomes in the management of these open tibia shaft fractures using the two fixators under review.

Conclusion: The study has re-iterated the fact that the Ilizarov frame fixator and the LRS are quite versatile tools in the armamentarium of the orthopaedic surgeon for managing open tibia shaft fractures.

尼日利亚伊巴丹大学医院Ilizarov框架固定器与线性轨道系统治疗开放性胫骨干骨折的疗效比较研究
背景:采用常规方案治疗开放性胫骨干骨折通常是繁琐的;包括几个手术程序和较长的住院时间。使用外固定架治疗开放性胫骨干骨折是很有前途的。Ilizarov框架和线性轨道系统(LRS)是常用的选择,因为它们在治疗开放性胫骨干骨折方面具有相当的疗效和适应性。研究目的是确定和比较在尼日利亚伊巴丹使用Ilizarov框架固定器和线性轨道系统(LRS)治疗开放性胫骨干骨折患者时,在平均放射愈合时间、愈合率、骨结局和功能结局方面的任何显著差异。研究方法:这是一项前瞻性研究,涉及三十(30)名男女患者,分为两组;Ilizarov框架固定器组和LRS组。所有患者均为Gustillo-Anderson级(GA II- IIIB)开放性胫骨干骨折。放射愈合时间来源于固定架内确认放射愈合的时间长度,而骨和功能结果使用ASAMI标准进行评估。结果:27例患者愈合,3例不愈合(LRS组2例,Ilizarov组1例)。LRS组和Ilizarov组的结实率分别为86.7%和93.3%。LRS组平均愈合时间为6.5±1.8个月,Ilizarov组平均愈合时间为6.4±2.1个月。结果显示,LRS组优良率为66.7%,良率为20%,差率为13.3%;Ilizarov组优良率为53.3%,良率为40%,差率为6.7%。功能结果显示,LRS组53.3%为优,40%为良,6.7%为公平;Ilizarov组40%为优,46.7%为良,13.3%为公平。使用这两种固定架治疗开放性胫骨干骨折的平均放射愈合时间、愈合率、骨和功能结果均无显著差异。结论:该研究再次证实了Ilizarov框架固定架和LRS是骨科医生治疗开放性胫骨干骨折的万能工具。
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来源期刊
International Orthopaedics
International Orthopaedics 医学-整形外科
CiteScore
5.50
自引率
7.40%
发文量
360
审稿时长
1 months
期刊介绍: International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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