The use of ilizarov external fixator for open comminuted fractures in different parts of tibia

Background: Open fracture of tibia is a common occurrence in the orthopedic treatment arena. Ilizarov technique is a popular technique of treating open tibial fracture after debridement and open reduction. It is comparatively a newer method and has many advantages.Methods: This study was carried out in the department of orthopaedics, Centre for women and child health, Ashulia, Dhaka, Bangladesh during the period from January 2019 to June 2021. In total 30 patients with tibial fractures were selected as the study population. Before starting the intervention, the written consent of the participants was taken and this study was approved by the ethical committee of the respective medical college.Results: Out of total 30 participants, 24 (80%) were males and 6 (30%) were female. In analyzing mode of injuries, we found highest (86.7%) participants were from road accidents followed by 10% from sports injury and the remaining 3.3% from general falls. The duration of treatment with the fixator was 12-23 weeks (average 16 weeks). Fourteen patients wore a PTB cast for an additional period of 4 weeks. In our study total 30 cases were debrided on the same day and stabilized with Ilizarov ring fixator after a period of 5 to 12 days from the date of injury. The operation time ranged from 90 minutes to 120 minutes (Mean 102±4 minutes).Conclusions: No case developed deep infection, non-union or unacceptable mal-union. The construct is stable and enables the patient to bear weight on the affected limb a short time after the surgery, even in cases of comminuted fractures