Abstract

Distal meta-diaphyseal compound fractures of the tibia have been challenging situation mostly treated with joint spanning external fixation, resulting in resuidal ankle stiffness and prolonged immobilization. Internal fixation failed due to infection, inadequate skin coverage and avascular necrosis of the skin leading to sloughing. Patients on admission, a careful history was elicited and/or attenders to reveal the mechanism of injury and severity of the trauma. The patterns were then assessed clinically to evaluate their general condition and local injury and radiologically confirmed distal third tibial meta-diaphyseal compound fractures, and were eligible for the study according to the above-mentioned eligibility criteria were included in the study after informed consent from the patient. In the study, AO/OTA classification was also used to categorize the fracture based on the severity. Accordingly, majority belonged to A2 (35.0%). The next common groups were in A1 (30.0%), followed by A3 (25.0%). Only 1 individual each were belonging to C1 and C2 respectively. In the study, Gustilo Anderson classification was used to categorize the fracture based on the severity. Accordingly, majority belonged to Grade II (55.0%), and the remaining were in Grade I (45.0%). None of the subjects with severity of Grade III or more were included in the study.

Description