Compound Right Tibia Fracture with Type 3B Wound Treated with TENS Nailing, Ilizarov Fixation & Bone Grafting | Balanku Hospital

Advanced Trauma and Limb Reconstruction Care at Balanku Hospital

Severe open fractures of the tibia are among the most challenging orthopedic injuries. When associated with extensive soft tissue damage, such as a Type 3B wound, treatment requires staged surgical management, infection control, and advanced limb reconstruction techniques.

At Balanku Hospital, we specialize in complex trauma care and limb salvage procedures. We are pleased to share the successful recovery of Mr. Anjinayya, who presented with a compound fracture of the right tibia with a Type 3B open wound.

Understanding the Condition

Mr. Anjinayya presented with:

• Severe pain and deformity of the right leg

• Open wound with exposed bone

• Swelling and soft tissue damage

• Inability to bear weight

Clinical examination and imaging confirmed a compound (open) fracture of the right tibia with a Type 3B wound, indicating significant bone fracture along with extensive soft tissue injury requiring surgical reconstruction.

Such injuries demand staged and carefully planned treatment to prevent infection and ensure bone healing.

Stage 1: Initial Stabilization

TENS Nailing & Wound Management

The first step involved stabilization of the fracture using TENS (Titanium Elastic Nailing System) to maintain alignment and support bone healing.

Simultaneously, proper wound debridement was performed to remove contaminated and non-viable tissue.

Stage 2: Skin Grafting

Due to the extensive soft tissue defect, skin grafting was performed to cover the exposed area and promote proper wound healing.

This step was essential to:

• Prevent infection

• Protect underlying bone and tissues

• Promote healthy tissue regeneration

Stage 3: Ilizarov Fixation

To enhance stability and promote bone healing, Mr. Anjinayya later underwent Ilizarov fixation, an advanced external ring fixation technique used in complex fractures and bone defects.

Benefits of Ilizarov Fixation:

• Provides strong external stabilization

• Allows gradual correction and compression

• Promotes bone regeneration

• Useful in managing complicated open fractures

Stage 4: Bone Grafting

To stimulate bone union and address any bone loss, bone grafting was performed. This procedure enhances biological healing and strengthens the fracture site.

After achieving adequate bone healing and stability, the Ilizarov fixator was removed.

Procedure Overview

Final Outcome

With staged surgical management, infection control, and structured rehabilitation, Mr. Anjinayya achieved:

• Successful fracture union

• Complete wound healing

• Removal of Ilizarov fixator

• Ability to bear weight on the right leg

• Return to functional mobility

This case highlights the importance of timely intervention and comprehensive orthopedic trauma care.

Advanced Trauma Care at Balanku Hospital

At Balanku Hospital, we are committed to:

• Managing complex open fractures

• Providing advanced limb reconstruction techniques

• Preventing infection through meticulous wound care

• Ensuring successful bone healing and functional recovery

We take pride in delivering expert trauma care and helping patients regain independence after severe injuries.