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ILIZAROV FRAME FOR MANAGEMENT OF TIBIAL FRACTURES IN THE OLDER PATIENT.



Abstract

We performed a retrospective study of treatment of 50 patients above the age of 65 years with Tibial metaphyseal and diaphyseal fractures.

We studied the outcome by evaluation of all medical records and radiographs.

The mean duration of follow-up was 11 months. The average hospital stay was 19 days and the mean time in frame was 112 days. There were 2 non unions,3 significant malunions,2 refractures and 1 patient underwent an amputation.

Tibial fractures in the elderly are common and result in prolonged immobility and hospital admission. Fracture stabilization with an Ilizarov circular frame is an effective way of improving mobility with minimal additional morbidity, shorten hospitalisation time and achieve an excellent outcome.

Correspondence should be addressed to: S. Dhar, BLRS, c/o BOA, The Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.