Results of distraction compression and compression distraction in segmental defects of tibia with the use of Ilizarov's external fixator

To compare the results of distraction-compression and compression-distraction in segmental loss of tibia by Ilizarov extent fixator and to see the functional end results of each procedure. Comparative study. This study was carried out in the Department of Orthopaedic, Nishtar Hospital, Multan from April 2008 to March 2010. A total of 30 cases were included in the study. Gap non-union in tibia is a frequently encountered problem in open tibial injuries. Their treatment have been unsatisfactory until the introduction of distraction histeogenesis by Ilizarov, before the end results were often amputation. Gap non-union of up to 5 cm can be managed by initial compression, later on the LLD is addressed and distraction histeognesis whereas gap of >5 cm are amicably managed by segment transport i.e. distraction and later compression between the transported segment to other end of the fracture. Both methods are excellent if the limitations and principles are followed. Our recommendations are gaps of < 5 cm to be managed and compression-distraction of gaps of >5 cm to be managed with distraction compression mode of treatment

Comparison of adynmic external fixator with dynamic external fixator in the management of the comminuted fractures of distal radius in the patients between 40-45 years age

To compare the treatment outcome of comminuted intra-articular fractures distal radius with adynamic external fixator and dynamic external fixator in patients of 40-65 years of age. Experimental Study. This study was carried out in the Department of Orthopaedic, Nishtar Hospital, Multan from Jan 2010 to December 2011. This experimental study was carried out in the Department of Orthopaedic, Nishtar Hospital, Multan. A total of 60 patients in both groups were included in the study. Out of the 60 patients, 43 [71.7%] were male and 17 [28.3%] were female with the right hand 35 [58.3%] and left hand 25 [41.7%]. It is concluded that dynamic external fixator is a better method of treatment for the comminuted fractures of the distal radius than adynamic external fixator because it allows early motion of tendons, muscles and adjacent joints and later, of the wrist itself while reduction and especially radial length were maintained in bridging external fixation