Definitive Management of Open Tibia Fractures Using Limb Reconstruction System

Patil, Mahantesh; Gupta, Srinath; Kurupati, Sri Krishna Chaitanya; Agarwal, Saumya; Chandarana, Vishal

doi:10.7860/jcdr/2016/17978.8124

Cited by 8 publications

(10 citation statements)

References 15 publications

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“…The presented study demonstrated excellent bone and functional scores based on ASAMI criteria in the majority of 83.3% and 66.7% of the patients respectively. The findings are similar to the study conducted by Patil MY et al [13] who treated 54 patients with a compound fracture of the tibia using the Limb reconstruction system. In the study by Patil MY et al [13] , 67% of the patients had an excellent score and 25% had a good score, and in the functional component assessment, nearly 80% had excellent scores based on ASAMI criteria.…”

Section: Discussionsupporting

confidence: 90%

“…The findings are similar to the study conducted by Patil MY et al [13] who treated 54 patients with a compound fracture of the tibia using the Limb reconstruction system. In the study by Patil MY et al [13] , 67% of the patients had an excellent score and 25% had a good score, and in the functional component assessment, nearly 80% had excellent scores based on ASAMI criteria. The most common complication encountered in the study by Patil MY et al [13] was pin tract infection, which was treated with suitable antibiotics.…”

Section: Discussionsupporting

confidence: 90%

“…In the study by Patil MY et al [13] , 67% of the patients had an excellent score and 25% had a good score, and in the functional component assessment, nearly 80% had excellent scores based on ASAMI criteria. The most common complication encountered in the study by Patil MY et al [13] was pin tract infection, which was treated with suitable antibiotics. A study by Singh AK et al [14] achieved an ASAMI Bone healing score of Excellent (67%) to Good (19%) in 86% of cases.…”

Section: Discussionmentioning

confidence: 91%

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Infected non-union of tibia treated with limb reconstruction system (LRS): A prospective study

Gupta¹,

Ks²,

Yadav³

et al. 2021

Int. J. Orthop. Sci.

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Introduction: Infected non-union of the tibia is difficult to manage due to problems like osteomyelitis, soft tissue distortion, draining sinuses, demineralization of bone, joint stiffness, and multidrug-resistant polybacterial infection. Material and Methods: We report the outcome of 18 patients (16 males and 2 females) of infected nonunion tibia treated with the Limb reconstruction system. The causes were open fracture in 15 cases and infection following internal fixation in 3 cases. We assessed the limb reconstruction system in the management of infected non-union of the tibia in terms of, union rate, control of infection, and associated complications. The assessment parameters were based on the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. Result: 88% were male and 11% were female, mean age was 32 ±9. The mean bone gap was 3.1±1.0. Draining sinus was present in 10 (55.6%) of the patients. Corticotomy and fibula osteotomy was performed in 14 (77.8%) of the patients. Bony union was seen in 17 (94.4%) of the patients. The mean time of union was found to be 9.7±1.7 months. The mean limb length discrepancy was 1.1±0.6 cm. Deformity angle of less than 7 degrees was present in 16 (88.9%).15 (83.3%) patients had excellent ASAMI bone scores and the remaining 02 (11.1%) had a good score. One patient in which the union was not observed had a poor score. For the functional component, 12 (66.7%) had an excellent score, 05 (27.8%) had a good score and 01 (5.6%) with non-union of the tibia bone was found to have a poor score. Conclusion: Limb reconstruction system is easy to perform, has predictable healing for infected nonunion, has a short learning curve, ensures compliance in patients, and provides reliable results with lesser complications.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 91%

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Infected non-union of tibia treated with limb reconstruction system (LRS): A prospective study

Gupta¹,

Ks²,

Yadav³

et al. 2021

Int. J. Orthop. Sci.

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“…13 The most common complication, in accordance with previous studies, was pin tract infection which was seen in 8 (28%) of our patients, 5 (16%) had limb shortening, which healed on suitable parenteral antibiotics after culture and sensitivity. [14][15][16][17][18][19][20] Our study showed a good result in 80%, moderate in 17% and poor in 3% of patients which was comparable to the results of other series like Ajmera et al and Patil et al 21,22 The mean time for weight bearing was 6 months indicating that most of the fractures in the study united at an average period of 6 months. These results confirmed that LRS fixator provides immediate stability to fracture fragments and allows immediate weight bearing which ultimately promotes early fracture healing and reduced financial burden.…”

Section: Discussionsupporting

confidence: 79%

Limb reconstruction system as a primary and definitive mode of fixation in open fractures of long bones

et al. 2017

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Background: Management of open fractures of long bones by the traditional systems is very complex. Limb reconstruction system (LRS) was considered as very effective, and offers rigid stabilization of fracture fragments and with an easy access to soft tissue care. The aim of the study was to determine the efficacy of LRS for treatment of open fractures of long bones.Methods: This prospective study included 30 cases of both the sexes aged between 11-60 years. Patients with closed fractures of long bones and fractures treated conservatively were excluded from the study. Their clinical and radiological evaluation will be done at presentation and certain specific intervals and evaluated for signs of bone union and associated complications.Results: The mean age of the patients participated in the study was 35.6 years with male predominance (93.3%). All patients (100%) were injured by road traffic accidents. 50% of the cases were of Grade 2 type of fractures. The most common complication encountered was pin tract infections seen in 8 cases. We had good results in 24 patients, moderate in 5 and poor in 1 patient using modified Anderson and Hutchinson’s criteria. Conclusions: LRS is an alternative to the traditional system of fixation in the primary management of open fractures of long bones. It is less cumbersome to the patient and more patient friendly in terms of reducing financial burden also. It is a definitive single stage procedure.

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“…12,16,28 Functional results was also satisfactory in 80% cases which is comparable to functional outcome by Chandraprakash et al (75%) and Lakhani et al (75%). 16,29 …”

Section: Bony and Functional Outcomessupporting

confidence: 76%

Extended use of limb reconstruction system in management of compound tibia diaphyseal fracture as primary and definitive tool

Mahajan

Mangukiya

2017

Int J Res Orthop

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INTRODUCTIONOpen fractures of tibia remain a formidable injury in today's motorized society for two reasons -they are common and they can be very challenging fractures to unite with good functional outcome. It has been predicted that more than 4.5 million open fractures occur per year in India as compared to 3.5-6 million fractures occur in the United states annually. 1,2The tibia being the most commonly fractured long bone as one-third of its surface is subcutaneous, open fractures are more common in tibia than in any other major long bones and its fracture management has changed drastically from conservative to early surgical management and its fracture management contributes significantly to the cost of orthopaedic care being provided worldwide.3,4 Epidemiological studies suggest that motor vehicle accidents are the most common causes of tibial diaphyseal fractures, followed by sports-related injuries.2 High energy trauma which imparts more kinetic ABSTRACT Background: The fractures of the tibia are among the most difficult fractures to treat effectively. The status of the soft tissues, the degree of comminution and level of contamination sustained at the time of injury affect the long term clinical results. The goal of operative treatment is to obtain anatomic realignment of the shaft of tibia while providing enough stability to allow early motion. This should be accomplished using techniques that minimize osseous and soft tissue devascularization in the hopes of decreasing the complications resulting from treatment. Methods: A prospective randomized study was conducted between 2014-2016 on 20 patients admitted with compound tibia diaphyseal fracture and treated with Limb reconstruction surgery. Results: In our study, the mean time of partial weight bearing was 3.5±2.97 weeks, full weight bearing was 8.55± 4.14 weeks and bone union time was 20.22±5.22 weeks. The pin tract infection was found in 5 (25%) cases. Delayed union was observed 06 (30%) cases. Shortening of more than 2 cm were recorded in 3 (15%) patients. Joint (knee or ankle) stiffness was observed in 6 (30%) cases. Loosening of pin was observed in 3 (15%) cases. Chronic osteomyelitis was observed in 3 (15%) cases. Secondary procedures were done in 11 (55%) cases. Bone marrow aspiration was done in 5 (25%) cases, iliac bone grafting in 5 (25%) cases. Conclusions: LRS is found to be wonderful tool in management of compound tibia fractures as primary and definitive mode because of its safety, versatile nature, patient friendly and cost effectiveness.

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Definitive Management of Open Tibia Fractures Using Limb Reconstruction System

Cited by 8 publications

References 15 publications

Infected non-union of tibia treated with limb reconstruction system (LRS): A prospective study

Infected non-union of tibia treated with limb reconstruction system (LRS): A prospective study

Limb reconstruction system as a primary and definitive mode of fixation in open fractures of long bones

Extended use of limb reconstruction system in management of compound tibia diaphyseal fracture as primary and definitive tool

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