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Philadelphia, USA |
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* Scientific Article * Impact Factor 6.630 |
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Mughal, N. M., Ullah, Z., & Ali, H. N.
Role of external fixation in open tibial fractures and patient’s satisfaction. |
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Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-01-69-42
DOI: https://dx.doi.org/10.15863/TAS.2019.01.69.42
Language: English
Citation: Mughal, N. M., Ullah, Z., & Ali, H. N. (2019). Role of external fixation in open tibial fractures and patient’s satisfaction. ISJ Theoretical & Applied Science, 01 (69), 307-310. Soi: http://s-o-i.org/1.1/TAS-01-69-42 Doi: https://dx.doi.org/10.15863/TAS.2019.01.69.42 |
Pages: 307-310
Published: 30.01.2019
Abstract: Objective: To study outcomes of external fixators as a treatment of open tibial fractures. Study design and duration: This is a cross sectional study of descriptive type started in January 2018 and completed in December 2018, consisted on duration of twelve months. Setting: Study was conducted in Mophi-u-din Islamic Meedical College Mirpur AJK. Patients and Methods: Patients presenting in study hospital with open fracture of tibia were classified according to Gustilo Anderson classification. Patients with grade-2 and grade-3 wounds were included in this study. They were operated and external fixation was done using either N.A or A.O fixators. These patients were called for follow-up every month and outcome of external fixator was seen. Range of motion on ankle and knee joints was seen. Feedback from patients was taken, regarding their satisfaction about this treatment method. Some patients were unhappy with this technique while others were satisfied. A questionnaire was designed containing relevant questions about mechanism of injury, site of fracture, grade of wound according to G.A classification. All data was documented properly. Consent was taken from all cases in written form. Permission was also taken from ethical committee of the hospital for conducting study. Data was analyzed using Microsoft office and SPSS software, version 2017. Results were calculated in the form of percentages and expressed via tables and graphs. Results: There were total 70 cases included in this study. All these cases were operated for external fixation of tibial fractures. There were both male (70%) and female (30%) cases. Age range of patients was 16-70 years with mean age 42 years. There were 21.4% patients with grade2 wound, 50% with grade 3-A and 28.6% having grade 3-B wound. There were 65% patients satisfied with external fixation method and 35% were not satisfied due to its weight and need of second operation for removal of fixator and interference with mobility of ankle or knee joints. Conclusion: External fixation is a useful procedure in open tibial fractures with minimum complications and good range of motion on ankle and knee joints.
Key words: External fixation, open tibial fractures, Range of motion.
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