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A report of the first 20 cases using a simple external fixator
1Department of Orthopaedics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Raja Muda, Kuala Lumpur.
The Medical Journal of Malaysia
|June 1, 1992
Summary
This study evaluated a locally-designed external fixator for open tibia fractures. While adequate for most cases, pin tract infections and malunion remain concerns requiring technique improvements.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Open fractures of the tibia present significant treatment challenges.
- External fixation is a common method for managing these complex injuries.
Purpose of the Study:
- To present the treatment outcomes of a locally-designed external fixator in patients with open tibia fractures.
- To identify complications and areas for improvement in the use of this device.
Main Methods:
- Retrospective analysis of 20 patients treated with a locally-designed external fixator.
- Indications, complications (pin tract infection, fixation instability), and outcomes (malunion, joint stiffness) were recorded.
Main Results:
- Open fractures were the primary indication for external fixation.
- Pin tract infection occurred in 8 patients; 2 required device removal due to unstable fixation.
- Malunion exceeding 15 degrees was observed in one-third of patients, and joint stiffness affected two-thirds post-conversion to cast.
Conclusions:
- The locally-designed external fixator is adequate for treating most open tibia fractures.
- Improvements in pin insertion and post-fixation casting techniques are recommended to minimize complications like pin tract infections and malunion.