JLUMHS (Nov 2023)
To Evaluate the Outcome of AO External Fixator Technique for the Management of Grade II, Grade IIIA and Grade IIIB of Open Tibia Fracture
Abstract
OBJECTIVE: To Evaluate the AO External Fixator technique outcome in managing open tibia fracture Grade II and IIIA & IIIB. METHODOLOGY: This descriptive cross-sectional study was conducted in the Department of Orthopaedic Surgery, PUMHSW Hospital, Shaheed Benazirabad (Nawabshah), in 2021 after approval. All the patients were selected from Orthopaedics OPD/Emergency Department. The sample size was 101. Data was analyzed using Statistical Package for Social Science (SPSS) software Version 21. Quantitative data were presented with Mean ± SD. Qualitative data were presented in percentages and frequencies. A chi-square test was used to measure categorical variables. RESULTS: Out of 101 patients, 81 were male and 20 were female. The mean age of the patient was 31.05, and SD was 9.511. The Modes of injury: 5 were pedestrian, 3 were bicycle, 61 were a motorcycle, 30 were a car, one fall from height and one from machine injury. The injury site on the right side of the tibia occurred in 56 patients; from the left were 43 patients, and in the bilateral were two. 23.8%, 42.6% and 33.7% of patients had Grade II, IIIA, and IIIB open tibia fractures. 43 (42.6%) patients had simple fractures, 38 (37.6%) patients had wedge fractures, and 20 (19.8%) patients had complex fractures. CONCLUSION: Using an AO External Fixator in open tibia fracture has seen fewer complications in grades II, IIIA, and IIIB. Fracture union was obtained in 90%. Pin tract infection was common and observed in some patients, but antibiotics healed it.
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