Outcome of Tibial Fractures in Elderly Treated with Circular Frame with Minimum 12 Months Follow Up

Description

In this presentation delivered by Hussain Al Omar from Hull, the focus is on a retrospective study examining the outcomes of tibial (TB) fractures in elderly patients treated with circular frames, specifically over a minimum follow-up period of 12 months. The study included patients aged 65 and older who suffered isolated tibial fractures, excluding those with lost follow-ups or trauma patients. Results indicated that the median age of participants was 70, with two-thirds being female. Notably, the majority of injuries stemmed from low-energy trauma, specifically falls from ground level, which is consistent with the fragility fractures often seen in osteoporosis among the elderly. The fractures were classified using the AO classification, revealing that nearly 60% were articular, with a significant portion requiring soft tissue management due to open fractures. The study noted that while 20% of patients faced restrictions in weight bearing—pertaining to tibial plateau fractures—over 90% were discharged to their previous residences post-treatment. Importantly, a 100% union rate was observed without additional surgeries, and functional scores showed positive outcomes with 87% of patients reporting excellent or good function. The study also identified complications, with a significant proportion related to pin tract infections. In concluding remarks, the presentation highlighted the effectiveness of circular fixators in treating elderly patients with tibial fractures, prompting further discussion on the management of such cases.

DOI: 10.1302/3114-230135

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