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Abstract

Background: Compound long bone fractures pose significant challenges due to high risks of infection, non-union, and severe soft tissue damage. Choosing an optimal fixation method is crucial for improving outcomes. This study evaluates the effectiveness of the Limb Reconstruction System (LRS) as the primary fixation method for these fractures, using the Asami score criteria to assess pain, function, and bone stability.
Methods: A prospective study was conducted on 30 patients with compound long bone fractures. Fracture conditions were simulated, and LRS was applied as the primary fixation method. Postoperative outcomes were assessed using the Asami criteria, focusing on bone stability, functional mobility, and pain relief. Statistical analysis was performed to compare LRS with alternative fixation methods, such as the Ilizarov frame, in terms of infection rates, weight-bearing capacity, and patient compliance.
Results: LRS demonstrated significant improvements in all postoperative outcome measures. Patients exhibited enhanced bone stability, better functional mobility, and effective pain relief. LRS was associated with lower infection rates and facilitated early weight-bearing compared to the Ilizarov frame, which is more complex to apply and may reduce patient compliance. Additionally, complication rates were low, with manageable issues such as pin tract infections.
Conclusion: The study reinforces previous findings on LRS as a viable, patient-friendly, and cost-effective treatment for complex fractures, particularly in resource-limited settings. LRS offers a reliable alternative to traditional fixation methods, ensuring improved recovery and early mobilization. Further long-term studies are recommended to establish LRS as the standard treatment for high-risk fractures in orthopedic trauma care.