Treatment of type II and III open tibial fractures with Ilizarov external fixation
Küçük Resim Yok
Tarih
2002
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVES: We evaluated the results of patients who were treated with Ilizarov external fixation for type II and III open tibial fractures. METHODS: Forty-five patients (4 females, 41 males; mean age 33 years; range 8 to 65 years) with open tibial fractures were treated with the Ilizarov external fixator. According to the Gustilo-Mendoza classification, the fractures were type II, IIIA, IIIB, and IIIC in 12, 20, 9, and 4 patients, respectively. The mean follow-up was 58 months and 4 days (range 42 months and 10 days to 66 months and 11 days). The fixators were applied for a mean of 17.2 weeks (range 6.8 to 55.7 weeks). RESULTS: Union was achieved in all cases. A significant difference was observed between type II and III fractures in terms of time to union (p<0.05). Compared to type IIIA fractures, the time to union was significantly longer in type IIIB and IIIC fractures (p<0.05). The most frequent complication was pin-tract infections (27.1%). Refracture occurred in four cases (8.8%). Three patients developed late infections at the fracture site. Radiographically, the results were excellent in 14 patients (31%), good in 22 patients (48.8%), moderate in five patients (11.1%), and poor in four patients (8.8%). Functional results were excellent in 21 patients (46.6%), good in 20 patients (44.4%), and moderate in four patients (8.8%). CONCLUSION: Despite technical difficulties and problems associated with pin-tract infections, the Ilizarov external fixator may be the preferred technique in open tibial fractures because of high union rates, the use of thin K-wires with minimal traumatic effect, and more successful functional results.
Açıklama
Anahtar Kelimeler
adolescent, adult, aged, article, child, evaluation, external fixator, female, human, Ilizarov technique, injury scale, joint characteristics and functions, male, middle aged, open fracture, pathology, radiography, tibia fracture, treatment outcome, Adolescent, Adult, Aged, Child, External Fixators, Female, Fractures, Open, Humans, Ilizarov Technique, Injury Severity Score, Male, Middle Aged, Range of Motion, Articular, Tibial Fractures, Treatment Outcome
Kaynak
Acta orthopaedica et traumatologica turcica
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
36
Sayı
5
