Open tibial shaft fracture treatment with plating within 6 hours and between 6-24 Hours after Injury

Hamid Pahlevanhosseini; Farhad Shahbazi-Bilehsavar; Seyyed Mohammad-Jalil Abrisham; Mohammad Shafiee

doi:10.15562/bmj.v6i2.594

Open tibial shaft fracture treatment with plating within 6 hours and between 6-24 Hours after Injury

Hamid Pahlevanhosseini ,

Farhad Shahbazi-Bilehsavar ,

Seyyed Mohammad-Jalil Abrisham ,

Mohammad Shafiee ,

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DOI: https://doi.org/10.15562/bmj.v6i2.594 |
Published: 2017-06-30

Abstract

Background: Open tibial shaft fractures are usually complicated injuries that require the collaboration of a surgical team consisting of orthopedic, plastic, and vascular surgeons to control the inflicted harms. There are different fixation methods, such as plating. This study aimed at comparing open tibial shaft fracture treatment with plating within 6 hours and between 6-24 hours after injury.

Methods: This randomized clinical trial was conducted on 30 patients with open tibial shaft fracture (Gustilo Type I and Type II), admitted to the Shahid Rahnemoon Hospital in Yazd. The patients were divided into two groups. The first group was treated with plating within 6 hours after injury (Group 1). The second group was treated with plating between 6-24 hours after injury (Group 2). The outcome of patients in both groups in terms of infection, delayed union, non-union, malunion, and reoperation was determined. Finally, the results were statistically analyzed in SPSS18.

esults: The mean age of patients was 23.19Â±6 years. There was no significant relationship between the two groups in terms of age, sex, postoperative infection, need for reoperation, delayed union, and malunion (P-value>0.05).

Conclusion: According to our findings, plating within 6 hours and plating between 6-24 hours had not any differences in the rate of complications.

References

-Bagheri, F., Peyvandi, M.T., Birjandinejad, A., & Zolfaghari, A. (2010). Soft tissue reconstruction in open tibial shaft fractures. Journal of Gorgan University of Medical Sciences, 12 (3), 70-74.
-Soleimanha, M., Mirblook, A., & Ettihad, H. (2013). Long-term results of tibial fractures treatment with intramedullary nailing. Journal of Bones and Joints Surgery, 12(3) 33-39.
-Bone LB, Kassman S, Stegemann P, France J. Prospective study of union rate of open tibial fractures treated with locked, undreamed intramedullary nails. J Orthop Trauma. 1994; 8:45-9.
-Faschingbauer M, Meiners J, Schulz AP, Rudolf KD, Kienast B.Operative Treatment and Soft Tissue Management of Open Distal Tibial Fractures - Pitfalls and Results. European Journal of Trauma. 2009; 35(6): 527.
-Rouhi, M., Bahrami, M., hajiahmadi, M., & Shahhosseini, R. (2007). Treatment of open tibial wound with flexible medullary nailing. Journal of Babol University of Medical Sciences, 10(2), 62-67.
-Shayestehazar, M., Kariminasab, M.H., Sajjadisaroodi, M. (2011). Comparison of external fixator with intramedullary nailing in treatment of open tibial shaft fractures. Journal of Mazandaran University of Medical Sciences, 21(85), 139-146.
-Gustilo RB, Merkow RL, Templeman D. The management of open fractures. Journal of Bone Joint Surg.1990;72-A:299-304.
-Bach AW, Hansen ST Jr. Plates versus external ï¬xation in severe open tibial shaft fractures: a randomized trial. Clin Orthop 1989; 241:89-94.
-Holbrook JL, Swiontkowski MF, Sanders R. Treatment of open fractures of the tibial shaft: Ender nailing versus external ï¬xation. J Bone Joint Surg [Am] 1989;71-A: 1231-8.
-Heather A, Vallier MD, Brendan M, Patterson MD. Randomized, Prospective Comparison of Plate versus IntramedullaryNailFixationforDistalTibiaShaftFractures. Department of Orthopedic Surgery, Cleveland, OH.Accepted for publication February 3, 2011.
-Vallier HA, Le TT, Bedi A.Radiographic and clinical comparisons of distal tibia shaft fractures: plating versus intramedullary nailing Orthopedic Trauma. 2008 May-Jun;22(5):307-11.
-Reus BL, Cole JD. Effect of delayed treatment on open tibial shaft fractures. American Journal of Orthopedics.2007;36(4):215-20.
-William W,Swiontkowski F. Treatment principles in the management of open fractures.Indian J Orthop. 2008; 42(4): 377â€“386.

[1] -Bagheri, F., Peyvandi, M.T., Birjandinejad, A., & Zolfaghari, A. (2010). Soft tissue reconstruction in open tibial shaft fractures. Journal of Gorgan University of Medical Sciences, 12 (3), 70-74.

[2] -Soleimanha, M., Mirblook, A., & Ettihad, H. (2013). Long-term results of tibial fractures treatment with intramedullary nailing. Journal of Bones and Joints Surgery, 12(3) 33-39.

[3] -Bone LB, Kassman S, Stegemann P, France J. Prospective study of union rate of open tibial fractures treated with locked, undreamed intramedullary nails. J Orthop Trauma. 1994; 8:45-9.

[4] -Faschingbauer M, Meiners J, Schulz AP, Rudolf KD, Kienast B.Operative Treatment and Soft Tissue Management of Open Distal Tibial Fractures - Pitfalls and Results. European Journal of Trauma. 2009; 35(6): 527.

[5] -Rouhi, M., Bahrami, M., hajiahmadi, M., & Shahhosseini, R. (2007). Treatment of open tibial wound with flexible medullary nailing. Journal of Babol University of Medical Sciences, 10(2), 62-67.

[6] -Shayestehazar, M., Kariminasab, M.H., Sajjadisaroodi, M. (2011). Comparison of external fixator with intramedullary nailing in treatment of open tibial shaft fractures. Journal of Mazandaran University of Medical Sciences, 21(85), 139-146.

[7] -Gustilo RB, Merkow RL, Templeman D. The management of open fractures. Journal of Bone Joint Surg.1990;72-A:299-304.

[8] -Bach AW, Hansen ST Jr. Plates versus external ï¬xation in severe open tibial shaft fractures: a randomized trial. Clin Orthop 1989; 241:89-94.

[9] -Holbrook JL, Swiontkowski MF, Sanders R. Treatment of open fractures of the tibial shaft: Ender nailing versus external ï¬xation. J Bone Joint Surg [Am] 1989;71-A: 1231-8.

[10] -Heather A, Vallier MD, Brendan M, Patterson MD. Randomized, Prospective Comparison of Plate versus IntramedullaryNailFixationforDistalTibiaShaftFractures. Department of Orthopedic Surgery, Cleveland, OH.Accepted for publication February 3, 2011.

[11] -Vallier HA, Le TT, Bedi A.Radiographic and clinical comparisons of distal tibia shaft fractures: plating versus intramedullary nailing Orthopedic Trauma. 2008 May-Jun;22(5):307-11.

[12] -Reus BL, Cole JD. Effect of delayed treatment on open tibial shaft fractures. American Journal of Orthopedics.2007;36(4):215-20.

[13] -William W,Swiontkowski F. Treatment principles in the management of open fractures.Indian J Orthop. 2008; 42(4): 377â€“386.

Open tibial shaft fracture treatment with plating within 6 hours and between 6-24 Hours after Injury

Abstract

References

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