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- Talk
- UK
A Comparative Evaluation of the Time to Fracture Union with Ilzarov Style, TSF and TL Hex Frames
Description
This is a presentation by Mr. Vilas Sadekar regarding the study on the time to fracture union in different types of circular frames used for tibial fractures. The study focuses on the biomechanical properties of various commercial frame types employed in treating tibial fractures, emphasizing the differences in stiffness and potential complications associated with Hexapods, particularly the 'toe-in' problem, which may lead to instability and affect bone healing.
The research was conducted in a major trauma center, analyzing data from frames applied between 2011 and 2018 on adult patients. The study categorizes fractures into types based on established classifications (Ilizarov, TSF, TL-Hex), with a primary outcome being the time taken for fracture union.
Results showed that the average duration patients remained in various frames differed, with Ilizarov frames averaging 191 days, TL-Hex at 225 days, and TSF at 234 days, though statistical significance was noted primarily when comparing open and closed fractures, indicating that open fractures heal more slowly. Furthermore, the complications associated with frame placement included pin site infections and other systemic issues, but the overall healing time for tibial fractures across frame types turned out to be similar. The study concludes that while certain factors, like the type of fracture and whether it is open or closed, affect healing times, the overall efficiency of the frames used remains comparable.