Clinical and Radiographic Evaluation of Illizarov Fixation in Open Type III (A&B) Pediatric and Adolescent Tibial Shaft Fractures
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Union of tibial fracture
研究概览
简要总结
The Ilizarov method is our usual treatment of choice for open, complex, physeal or unstable fractures and for patients in whom non-operative or other treatments have failed .
详细描述
Tibial fractures are the third most common injury involving a long bone in children. Most occur in the distal third, and approximately 10% are open.High-energy injuries with soft tissue compromise or segmental bone loss, present specific challenges. There is a significant risk of nonunion (7.5%),malunion (17%),infection (10%),and loss of reduction (32%).Many forms of treatment are available including a cast, elastic nailing, and external fixation using either a monolateral fixator, or a circular frame . In complex adult tibial fractures, evidence for the effectiveness of definitive external fixation using a circular frame continues to emerge.Fixators may be used for the correction of tibial deformities in children.Currently, only relatively small case series have been published describing their use for trauma in children and adolescents, albeit with good results.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 8-16 years old.
- •Diagnosed to have open grade IIIA and IIIB tibial fracture according to Gustilo-Anderson fracture classification system.
- •Fractures of the shaft of the tibia or distal tibial fractures involving the ankle joint and were complicated by bone and/or soft-tissue loss of more than 3 cm.
- •An external fixator could be placed in the proximal lower extremity, distal lower extremity, or foot, and normal bone segments available for osteotomy.
- •Admitted in the duration between 1st of January 2022 until end of December 2023.
排除标准
- •Patients requiring free flap or local flap transfer to close the wound.
- •Open grade IIIC tibial fractures (with vascular injury).
- •Loss to follow-up.
研究组 & 干预措施
Ilizarov device
Ilizarov fixation in open type III pediatric tibial shaft fractures
干预措施: Ilizarov (Procedure)
结局指标
主要结局
Union of tibial fracture
时间窗: 1 year
Assess Union of the fracture using radiographic union scale in tibial fracture(RUST)
次要结局
- Determine alignment(1 year)
- Patient reported outcome measures(1 year)
研究者
khaled Gamal Amir
Principal investigator
Assiut University