aim of this study was to describe the
characteristics of the patients, to evaluate
the outcome of an external fixation for
tibia open fracture.
method: The study was a retrospective
study involving 92 patients who have open
tibia injuries, and who underwent surgical
intervention by external fixation during
the period January 2014 to December 2016,
in Aden, Yemen.
were 71(77.2%) male and 21(22.8%) female
patients and the male to female ratio
The fracture patterns
were categorized according to Gustilo
open fracture classification: There were
51(55.5%) type 3A fractures, 29(31.5%)
type 3B, and 12(13%) type 3C.
The mean age of
all patients was, at the time of the injury,
37.3±10.3 years (range 1857
years). The mean age of male patients
was 36.5 ± 11.1 years and the mean
age of females was 40.1 ± 6.6 years.
The difference between means showed no
statistical significance (p > 0.05).
Bone union was
achieved in 70(76.1%) patients and delayed
union 12(13%). Mal-union was observed,
in 4(4.4%) patients. There were 2(2.2%)
patients who exhibited a shortening of
2 cm and another 1(1.1%) exhibited a shortening
of 1.5 cm.
Pin tract infection
was observed in 7(7.6%) patients and chronic
osteomyelitis in 2 (2.2%) patients. Six
(6.5%) patients had non-union.
External fixation is the method of choice
for the primary treatment of tibia open
fracture. However, this is a small study
in two private hospitals and larger studies
Tibia, open fracture, external fixation,