Management of Compound fractures of tibia by Limb Reconstruction System (LRS)

Vol 35 | Issue 1 | Jan-April 2020 | page: 29-34 | Pulkesh Singh, Santosh Kumar Singh, Simrat Pal Singh Gill


Authors: Pulkesh Singh [1]], Santosh Kumar Singh [2], Simrat Pal Singh Gill [2]

¹K. D. Medical College, Hospital & Research Center, Mathura, U.P, India.

2 Uttar Pradesh University of Medical Sciences Saifai, Etawah, U.P, India

Address of Correspondence:
Dr. Pulkesh Singh,
K. D. Medical College, Hospital & Research Center, Mathura, U.P, India.
E-mail: doctorpulkesh@gmail.com


Background: Surgical management of compound fractures of tibia eith or without bone loss are full of complications. These injuries are complicated both for patient and the treating surgeon. Many operative procedures are needed for treating such patients. Along with providing a stable fixation it employs the principal of distraction osteogenesis to fill the bone gap. It is a less invasive surgery with minimal blood loss. Immediate weight bearing prevents disuse osteoporosis and muscle atrophy with consequent preservation of limb function. There is no need of bone grafting. Compared to ilizarov this construct is less bulky, it is easier to apply, post op dressing is easier and it is less cumbersome for the patient. Hence LRS fixator can be used as a good treatment option in such patients. This study was conducted to analyze the efficacy, functional and radiological outcome of Limb Reconstruction System (LRS) in management of open fractures of tibia with or without bone loss as a primary and definitive tool.
Methods:  We treated 20 patients with compound injuries of tibia between December 2014 and November 2018 with Limb Reconstruction System (LRS) as a primary and definitive tool. 15 males & 05 females were included in this study with age ranging from 20 – 50 years. All the patients had compound fractures of tibia (except Type III C) with or without bone loss.
Results: Average follow up period was 36.45±4.7 weeks ranging from 06 – 18 months. There was sound bony union in all of the cases with resolution of infection. The mean time of full weight bearing was 10.45±2.25 weeks and bone union time was 23.26±6.33 weeks. ASAMI score (Association for the Study and Application of the Method of Ilizarov) for bony outcome was Excellent in 13 (65%) patients, Good in 5 (25%) patients, Fair in 1 (5%) patient and Poor in 1 (5%) patient. ASAMI score for functional outcome was Excellent in 14 (70%) patients, Good in 4 (20%) patients, Fair in 1 (5%) patient and Poor in 1 (5%) patient. Rail external fixator was sufficient enough for wound healing & bony union.
Conclusion: Limb Reconstruction System (LRS) offers an alternative option to treat compound fractures of tibia because of simplicity of application, its good fracture stability, adjustable geometry, light weight, affordable cost, patient friendly and can induce/enhance fracture healing by compression and distraction osteogenesis.
Keywords:  Limb Reconstruction System (LRS), Compound Fractures, Ilizarov.


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How to Cite this Article: Singh P, Singh S K, Gill S P S. | Management of Compound fractures of tibia by Limb Reconstruction System (LRS) | Journal of Bone and Joint Diseases | Jan-April 2020; 35(1): 29-34.

 



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