External Fixation of Extra-Articular Open Tibial Fractures
Journal Title: Acta Facultatis Medicae Naissensis - Year 2018, Vol 34, Issue 4
Abstract
External fixation is one of the most commonly used methods for the treatment of open tibial fractures. In everyday practice, for fixation of open tibial fractures we use the external fixator by Mitković. External fixator is unilateral and easy to use. This retrospective study included 59 patients with 59 open tibial fractures, of which 37 (62.71%) men and 22 (37.28 %) women, with mean age 43.92 (16-84) years. The fractures were localized in the proximal part of the tibia (11), tibial shaft (29) and distal part of the tibia (19). According to Gustilo classification, 12 (20.33 %) patients had Type I open tibial fractures, 15 (25.42%) patients had Type II open tibial fractures, and 32 (54.23%) (13 IIIA, 17 IIIB, 2 IIIC) patients had Type III open tibial fractures. The union rate without complications was 77.96 % (46). Nonunion and delayed union rate was 15.25 % (9). Malunion rate was 6.77% (4). Pin tract infection rate was 13.55 % (8). Compartment syndrome was observed in 5.08 % (3) of patients. The patients had fasciotomy done and the external fixator applied. The average time of fracture healing was 26 weeks (6.06 months). External fixation of open tibial fractures is a simple and effective method that enables the safe healing of fractures, early mobilization of patients, early weight-bearing as well as early rehabilitation.
Authors and Affiliations
Saša Milenković, Milan Mitković
Keywords
Related Articles
- EP ID EP422407
- DOI 10.2478/afmnai-2018-0035
- Views 103
- Downloads 0
Reakcija koštanog tkiva na endometazon implantiran u mandibulu pacova
Cilj rada bio je ispitivanje tkivnog odgovora na koštanu implantaciju „Endometazona“ (Septodont) u veštački preparisan defekt u mandibuli pacova. U eksperimentu je korišćeno 16 Wistar pacova muškog pola. Nakon an...
Comparing Mental Illness Stigma among Nurses in Psychiatric and Non-Psychiatric Wards in Tabriz University of Medical Sciences - - - Poređenje stigmatizacije mentalnih oboljenja od strane medicnskih sestara na psihijatrijskim i nepsihijatrijskim odeljenjima Univerziteta medicinskih nauka u Tabrizu
Stigma can complicate people’s mental health problems by affecting different sides of personal life, increasing negative attitudes, causing discriminatory behavior towards them, and reducing the chances of recovery and r...
Rehabilitation of a Female Patient after Corrective Surgery for Tetralogy of Fallot
Herein we present a 25-year-old female patient with tetralogy of Fallot (TOF). This congenital heart defect is not very common, but it is the most common one among cyanotic heart defects. Treatment of the patients with...
CHARACTERISTICS OF PATIENTS TREATED PSYCHOTERAPEUTICALLY IN THE OUTPATIENT CLINICAL SETTING
The influence of social changes in transitional country and transitional times, among other things, have made changes in the structure of the patients seeking psychotherapeutic treatment. However, there has not been any...
TRANSPEDICULAR SCREW FIXATION OF THORACOLUMBAR SPINE FRACTURES
Thoracolumbar spine fractures are most common in the young healthy population. The most common causes of these fractures are high-energy traumas, traffic accidents or falls from heights. Fractures can be followed by neur...