International Journal For Multidisciplinary Research

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Volume 8 Issue 2
March-April 2026

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The outcome of the compound segmental tibial shaft fracture managed by the Limb Reconstruction System fixator : A Case Report

Author(s) Dr. Prantik Debbarma
Country India
Abstract PURPOSE-Limb reconstruction system (LRS) fixators have been used in the management of complex tibial fractures with severe soft tissue injuries, compound tibial fractures, and infected tibial non-union for which conventional internal fixation cannot be contemplated. Fracture union and distraction osteogenesis can be done simultaneously with these external fixators , allowing early weight bearing. Thus, a prospective observational study was done to evaluate the union rate, functional outcome and limb length discrepancy in compound segmental tibial fractures managed primarily by LRS fixators. METHODOLOGY-A prospective observational study was conducted at Agartala Government Medical College & GBP Hospital, Tripura, India and included two patients with compound segmental tibial fracture. The patients underwent LRS fixation and followed up at 1 month, 3 months, 6 months and 1 year. Functional and radiological outcomes were assessed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. RESULTS-Union was achieved and radiological outcome was found excellent. Functional result was satisfactory. Post operative evaluation showed no pin-tract infection, loosening of pin, breakage of pin, assembly loosening, knee stiffness, ankle stiffness, neurovascular complication, limb length discrepancy, chronic osteomyelitis and delayed union. The patients achieved full range of motion at knee (0 to 135 degree), plantar flexion (0 to 45 degree) and dorsi flexion (0 to 20 degree). CONCLUSION-In this assessment, LRS fixators showed a favorable result in terms of fracture union and functional outcome with good healing of the soft tissues and maintenance of the limb length.
Keywords Compound tibial fracture, Segmental tibial fracture, Limb Reconstruction System, External fixator, ASAMI criteria
Field Medical / Pharmacy
Published In Volume 8, Issue 2, March-April 2026
Published On 2026-03-05
DOI https://doi.org/10.36948/ijfmr.2026.v08i02.70633
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