Online ISSN: 2515-8260

Keywords : external fixator

Functional and Radiological evaluation of the management of distal tibia fracture with three different surgical interventions.

Dr Shubham Taori, Dr D S Bhamare, Dr Anirudh Kandari, Dr Abhisheck Singh Bhadauriya ,Dr Anurag Anand, Dr Rahul Agarwal .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 2162-2168

Background: The study was conducted with the aim to evaluate the management of distal tibial fractures with IM nailing, external fixator and MIPO and determine which one is optimal for each individual patient.
Methods: A total of 60 patients were treated for distal tibial fracture using different modalities according to the fracture pattern and skin condition. Clinical, functional and radiological evaluation was done for each modality. Patients were assessed for complications like ankle
stiffness, wound discharge, non-union at each follow up.
Results: The mean AOFAS score was highest in the patients treated with MIPO followed by IM nailing and External Fixator and the difference was statistically significant. Most of the complications were found in the patients treated with External Fixator followed by MIPO and IM nailing. And most number of varus and valgus deformities were found in the patients treated with External Fixator and IM nailing and least in the patients treated with MIPO.
Conclusion: MIPO was a better treatment modality than IM nailing and External fixator from clinical, functional and radiological perspectives.

The Functional Outcome Of Displaced Distal End Radius Fractures Treated With External Fixator Using Principle Of Ligamentotaxis

Dr. Nishant Singh; Dr. RB Uppin; Dr. SK Saidapur; Dr. Gangadhar Bhuti

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 8, Pages 202-206

Aims: To Assess the Functional Outcome of displaced distal end radius fractures treated with external fixator on the basis of Modified Gartland & Werley score.
Material and Methods: From January 2020 to December 2020, this study was conducted at a tertiary referral hospital after obtaining institutional ethical approval. During this period, adult patients with distal end radius fractures were classified on the basis of Frykman’s classification, and 30 cases were selected based on inclusion and exclusion criteria and treated with external fixator. They were assessed using Modified Gartland & Werley score.
Results: Results with External fixator were found to be excellent with good union rates. The Modified Gartland & Werley Score were as follows: Excellent-12 cases (40%), Good- 15 cases (50%), Fair-2 cases (6.6%), Poor-1 case (3.3%).
Conclusion: External fixator is a simple, effective, and relatively complication-free technique. The anatomical repair of the articular surface, along with the surrounding injury to soft tissue & articular cartilage determine the eventual functional outcome of distal end of radius fracture healing.

A Rare Clinical Entity : Unicameral Bone Cyst of Humerus


European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 6356-6359

A case report presents the experience of diagnosis and management of Unicameral Bone Cyst(UBC) of midshaft Humerus. The lesion had a pathognomonic radiologic appearance of Unicameral Bone Cyst and diagnosis was histologically confirmed. We treated operatively by open curettage with auto graft bone augmentation with external fixator and significant improvements was noted in post-operative period. On basis of analysis of treatment results open curettage with auto graft bone augmentation with external fixator. if required, effective procedure Obtaining good functional results and shorter period of treatment

Outcome of communited intra articular fractures of distal tibia treated with external fixator

Rajkumar Indrasen Suryawanshi, Deepak Bhimraj Datrange, Swapnil Bhaskarrao Mahale

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 1876-1881

Background: The tibial intra-articular fracture refers to soft tissues envelope and often known as pillion fracture. The goal of treatment involves healed, well-aligned, functional range of motion of ankle joint. To offer the treatment the approach of fracture reduction has been successful in treating the complex fracture.
Aim: The research paper aims to analyze the outcome of communited intraarticular fractures of distal tibia treated with an external fixator.
Material and Methods: The current study is an observational study that is being conducted in….from…... For the study, the researcher has selected 30 people that involve 23 males and 7 females. The mean age of these participants was 53 years (range between 26-72 years). The patients were selected focusing on the inclusion and exclusion criteria.
Results: The clinical result of study involves the mean score of 81.5 points that range between 58-100. The first requirement of arthrodesis of the ankle and this patient scored 9 points for reduction quality. The clinical results have identified that the patient was facing the issues related to A5 valgus deformity that also occurred with diabetes. The consideration of results focusing on the approach of external treatment was found good and applied for the other clinical studies of the patients.
Conclusion: From the study, it has been carried out that that external fixator treatment for communited intraarticular fractures of the distal tibia is beneficial and having a positive impact on the process of offering the required support to the patients.