MANAGEMENT OF DISTAL TIBIAL FRACTURES BY ILIZAROV FIXATOR WITH OR WITHOUT MINIMAL INTERNAL FIXATION WITHOUT MINIMAL INTERNAL FIXATION

Main Article Content

Dr. Muhammad Adeel
Babar Shahzad Sadiq
Muhammad Ali Usman
Dr Muhammad Tayab

Keywords

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Abstract

Introduction: Distal tibial fractures pose significant challenges in orthopedic trauma management due to their complex anatomical characteristics and associated soft tissue injuries.


Objective: The main objective of the study is to find the management of distal tibial fractures by Ilizarov fixator with or without minimal internal fixation without minimal internal fixation.


Material and methods: This retrospective study was conducted at Orthopedic Unit, Ayub Teaching Hospital Abbottabad Pakistan from March 2023 to March 2024. Data were collected from 50 patients diagnosed with distal tibial fractures who underwent treatment using the Ilizarov fixator. Patient demographic information, fracture characteristics, treatment details, and postoperative outcomes are extracted from medical records, operative reports, and imaging studies.


Results: Data were collected from 50 patients.  Mean age of patients in group A was 42 ± 8 years and 45 ± 7 years in group B. The predominant mechanisms of injury were motor vehicle accidents (50%), followed by falls (30%) and sports-related incidents (20%). The statistical analysis revealed a significant difference in the time to fracture union between Group A (Ilizarov Fixator Alone) and Group B (Ilizarov Fixator + Minimal Internal Fixation), with a p-value of less than 0.05. However, there were no statistically significant differences in complications, functional recovery, or patient satisfaction between the two groups, as indicated by p-values exceeding 0.05.


Conclusion: It is concluded that both the Ilizarov fixator alone and in conjunction with minimal internal fixation demonstrate efficacy in managing distal tibial fractures. While the combined approach shows a significant advantage in accelerating fracture union, both modalities yield favorable outcomes with low complication rates and high patient satisfaction.

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