scholarly journals Open fractures of bones of the lower leg —Treatment with an Ilizarov external fixation device

Injury Extra ◽  
2007 ◽  
Vol 38 (4) ◽  
pp. 158
Author(s):  
V. Kecojevic ◽  
S. Jovisevic ◽  
S. Kecojevic
Foot & Ankle ◽  
1980 ◽  
Vol 1 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Andrew Newman ◽  
Charles C. Edwards

For over 100 years, many different types of external fixation have been used to immobilize fracture fragments. The greatest aceptance of external fixation has been with open fractures of the tibia. Three ankle fusions, all complex cases, were performed using the double-framed Hoffmann external fixation device. The deformities treated were a severe posttraumatic equinus deformity of the ankle and forefoot, a painful nonunion of a previous ankle fusion, and an equinus deformity secondary to a transmetatarsal amputation.


2005 ◽  
Vol 52 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Dragan Miric ◽  
Marko Bumbasirevic ◽  
N. Radulovic ◽  
Aleksandar Lesic

Seventeen patients with open fractures of the upper third of the femur were treated using a pelvifemoral external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Sciatic nerve injury was present in five (29.4%); abdominal viscera and thoracic wall injuries were present in two patients (11.8%). There were no major arterial injuries. Full weight bearing was allowed after clinical and radiological bone healing (average 11.5 months). Chronic osteitis with fistula and sequestra developed in two (11.8%) patients. There were no nonunions and no refractures. Minor painless limitation of hip motion persisted in all patients. Upper-third femoral open fractures due to firearms are a unique type of open fractures. They are usually highly comminuted ; therefore, stable fixation is difficult or impossible to achieve using external fixation with transfixation of the fracture site. On the other hand, the risk of infection is high following intramedullary nailing. Pelvifemoral external fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early patient mobilization.


Injury Extra ◽  
2007 ◽  
Vol 38 (5) ◽  
pp. 187-192 ◽  
Author(s):  
Thomas Zgonis ◽  
Douglas T. Cromack ◽  
Thomas S. Roukis ◽  
Joann Orphanos ◽  
Vasilios D. Polyzois

2011 ◽  
Vol 18 (3) ◽  
pp. 22-26
Author(s):  
Asker Alievich Afaunov ◽  
A V Kuz'menko ◽  
I V Basankin ◽  
A A Afaunov ◽  
A V Kuz'menko ◽  
...  

Tactics of surgical treatment of spondyloptosis including use of transpedicular external fixation device is presented. There were 4 patients with L5 spondyloptosis. The tactics is characterized by minor traumatization of lumbosacral spine with external fixation device, decrease of neurologic complications rate owing to gradual L5 reduction, possibility of spine deformity elimination, significant technical simplification of internal transpedicular osteosynthesis performance. Clinical results showed normalization of anatomic interrelation in lumbosacral spine, elimination of vertebroradicular conflict, restoration of trunk balance and anthropometric proportion as well as stabilization of L5-S1 segment by osteo-metalic block.


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