Skeletal Traction Followed by Plaster of Paris vs Open Reduction and Internal Fixation – Comparison of the Functional and Radiological Outcome of the Two Treatment Modalities in Schatzker Type V and VI Tibial Fractures

Authors

  • Ayesha Javed FMH College of Medicine and Dentistry, Lahore
  • Nilesh Kumar Mishra Mayo Hospital Lahore
  • Usman Khalid Kazi Mayo Hospital Lahore
  • Hassan Mehmood National University of Medical Sciences (NUMS)
  • Syed Haider Abbas Kazmi National University of Medical Sciences (NUMS)
  • Muhammad Farhan Zafar National University of Medical Sciences (NUMS)

DOI:

https://doi.org/10.61982/medera.v5i2.111

Abstract

Objective: To compare the functional and radiological outcomes of Schatzker type V and VI tibial
fractures for the two currently employed treatment modalities.
Methodology: It was a quasi-experimental study conducted at Orthopedics department. Patients
were admitted through ER and OPD of Mayo hospital Lahore over a period of 1 year. Total 84 patients
were included in the study. Patients were divided into two groups. Patients in Group A were
managed with skeletal traction for 2 weeks followed by plaster of Paris back splint applied for next 2
weeks followed by plaster of Paris casting for stabilization of the fracture for another next 4 weeks.
Patients in Group B were managed with ORIF by wires, screws or plates. Functional and
Radiographic evaluations were performed to assess pain, range of motion weight bearing and
fracture union in each follow-up visit
Results: In this study functional outcome of patients was significantly better and higher in patients
who were treated with ORIF technique
Conclusion: ORIF is more effective for treating Schatzker type V and VI tibial fracture in terms of
functional and radiological outcome as that skeletal traction followed by plaster of Paris casting.
Keywords: Skeletal Traction; ORIF; Schatzker type V; Schatzker type VI; Tibial Fracture

Downloads

Published

17-01-2024

How to Cite

Ayesha Javed, Nilesh Kumar Mishra, Usman Khalid Kazi, Hassan Mehmood, Syed Haider Abbas Kazmi, & Muhammad Farhan Zafar. (2024). Skeletal Traction Followed by Plaster of Paris vs Open Reduction and Internal Fixation – Comparison of the Functional and Radiological Outcome of the Two Treatment Modalities in Schatzker Type V and VI Tibial Fractures. MedERA - Journal of CMH LMC and IOD, 5(2). https://doi.org/10.61982/medera.v5i2.111

Issue

Section

Original Articles

Categories