Ilizarov Frame or Uni Planar External Fixator in the Cost-conscious Era

Study Overview
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Brief Summary
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Tibial shaft fracture is a common injury worldwide. Their treatment, prognosis, and outcome are determined by the mechanism of injury, presence of communition, soft tissue injury and displacement. In developing countries, lack of education,socioeconomic backgrounds, delay in presentation and appropriate planning for surgery add further to complicate the situation and may end in delayed union, non-union, multiple surgeries and ultimate results in increased morbidity. This study was conducted to determine the outcome of open tibia shaft fracture treated with Ilizarov or AO External Fixator.

Detailed Description
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Tibial shaft fracture is a common injury worldwide. Their treatment, prognosis, and outcome are determined by the mechanism of injury, presence of communition, soft tissue injury and displacement. In developing countries, lack of education,socioeconomic backgrounds, delay in presentation and appropriate planning for surgery add further to complicate the situation and may end in delayed union, non-union, multiple surgeries and ultimate results in increased morbidity. This study was conducted to determine the outcome of open tibia shaft fracture treated with Ilizarov or AO External Fixator. It was retrospective Cohort study. Two groups were compared in terms of fracture healing, mechanism of injury, fracture classification, Participant's ambulation at discharge, New Injury Severity Score (NISS), duration of hospital stay, duration of fracture union, need for secondary procedures and complications. Investigators concluded that circular fixator application has favorable outcomes for Gustilo grade III open tibial shaft fractures as compared to uniplanar external fixator.

Official Title
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In the Cost-conscious Era: Ilizarov Circular Frame or Uniplanar External Fixator for Management of Open Tibia Shaft Fracture, Retrospective Cohort Study From a Level-1 Trauma Center

Conditions
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Tibia Fracture

Intervention / Treatment
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* Procedure: ilizarov circular frame and uni-planarexternal fixator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants with open tibia shaft fracture type III (A, B, C) as per Gustillo classification of open fractures stabilized with external fixation either circular or uniplanar external fixator were included Exclusion Criteria: All closed and type I and II open tibia shaft fractures according to Gustillo classification of open fracture, Intra-articular fracture extending to knee and ankle joints were excluded.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ilizarov circular frame<br>46 participants with open tibia fracture Gustillo type III only | Procedure: ilizarov circular frame and uni-planarexternal fixator<br>* both are types of external fixators, but one is circular frame and other is uni-planar frame<br>|
| Ex. Fix<br>47 participants with open tibia fracture Gustillo type III only | Procedure: ilizarov circular frame and uni-planarexternal fixator<br>* both are types of external fixators, but one is circular frame and other is uni-planar frame<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fracture healing | Radiographic union score (RUST) for tibial fractures was used. months later on non-union. | 6-9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Union | Union was defined fracture healing after 6 months and delayed union after 9 | 6-9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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tibia fracture; ilizarov; open fracture; external fixator