Monoplanar external fixation of comminuted open tibial shaft fractures predicts loss of alignment by one year compared to a statically locked intramedullary SIGN nail

Injury ◽  
2020 ◽  
Author(s):  
Claire A. Donnelley ◽  
Ericka P. von Kaeppler ◽  
Heather J. Roberts ◽  
Billy Haonga ◽  
David W. Shearer ◽  
...  
Keyword(s):  
External Fixation ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
One Year ◽  
Tibial Shaft Fractures

scholarly journals External skeletal fixation of the tibial shaft fractures

2005 ◽  
Vol 62 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Sasa Milenkovic ◽  
Milorad Mitkovic ◽  
Mile Radenkovic
Keyword(s):  
External Fixation ◽  
External Fixator ◽  
Weight Bearing ◽  
Early Mobilization ◽  
Tibial Shaft ◽  
Closed Fracture ◽  
Early Weight Bearing ◽  
Shaft Fractures ◽  
Pin Tract Infection ◽  
Tibial Shaft Fractures

Aim. To present the possibility of a successful use of external skeletal fixation in treating the open and closed tibial shaft fractures with Mitkovic?s external fixator. Methods. External fixation was used in 115 patients with 118 fresh tibial shaft fractures, 82 males (71.3%) and 33 females (28.7%), average age 43.92 years (16?84). Open tibial shaft fractures were present in 37 (31.36%). All the fractures were treated with Mitkovic?s external fixator type M 20. Results. The results of external fixation were excellent or good in 94.07% of the cases, and bad in 5.08%. Pin tract infection appeared in 7 (5.93%) patients. In only 3 cases an external fixator was removed and treatment continued with the functional braces. Nonunion occurred in 6 (5.08%) patients, of which 4 were with open fractures (2 Gustilo type IIIB, 1 Gustilo type IIIA, 1 Gustilo type II) and 2 with the segment fractures. Compartment syndrome was observed in 1 (0.85%) patient with closed fracture. Malunion was found in 2 (1.69%) patients. Conclusion. External fixation of tibial shaft fractures is a simple and effective method to enable the safe healing of fractures, early mobilization of the patients, early weight-bearing, as well as early rehabilitation. Fixation of tibial shaft fractures was unilateral with convergent pins orientation, and there was also a possibility of compression and distraction.

scholarly journals Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Sandeep Gurung ◽  
Dipendra KC ◽  
Roshni Khatri
Keyword(s):  
Intramedullary Nailing ◽  
Demographic Data ◽  
Elastic Stable Intramedullary Nailing ◽  
Tibial Shaft ◽  
Elastic Stable Intramedullary Nail ◽  
Shaft Fractures ◽  
Tibia Fractures ◽  
One Year ◽  
Skeletally Immature Patient ◽  
Tibial Shaft Fractures

Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution.   Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated.   Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks  (SD=2.65) for close and  14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, remanipulations, or refracture.   Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.

Immediate Nailing of Open Tibial Shaft Fractures after Removal of External Fixation

1998 ◽  
Vol 33 (4) ◽  
pp. 1170
Author(s):  
Chung Nam Kang ◽  
Jin Man Wang ◽  
Kwon Jae Roh ◽  
Jong Oh Kim ◽  
Dong Jun Kim ◽  
...  
Keyword(s):  
External Fixation ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

scholarly journals OPEN TIBIAL SHAFT FRACTURES

2018 ◽  
Vol 21 (04) ◽  
pp. 654-658
Author(s):  
Muhammad Imran Khan ◽  
Muhammad Saqib ◽  
Waqar Alam
Keyword(s):  
Tract Infection ◽  
External Fixation ◽  
External Fixator ◽  
Clinical Results ◽  
Late Complications ◽  
Tibial Shaft ◽  
Union Rate ◽  
Shaft Fractures ◽  
Tibia Fractures ◽  
Tibial Shaft Fractures

Objective: The purpose of the study was to evaluate the clinical results afteroperative treatment of open tibia fractures (grade IIIA/B) with external fixator. Material andmethods: 25 patients with open fractures of the tibial diaphysis, classified as type III A and B,according to the Gustilo classification, were operatively treated in Agency Headquarter HospitalLandikotal. All the patients were treated with an external fixator. The time of the union of thefracture, problems with the union (malunion and nonunion), infection were examined astreatment outcome. Late complications and their treatment was not the object of the study. Thefollow-up period was at least 8 months. Result: The end results of the external fixation of 25 tibialshaft fractures, 18 (72%) men and 7 (28%) women, average age 37.7 (16-65). The union rate was83%. Nonunion rate was 12%. And malunion rate was 5% (fig-I). Fifteen patients had Gustilo typeIIIA injury while 10 patients had type IIIB injury (fig-II). Pins tract infection rate was 10%. Theaverage time of fractures healing was 28.5 weeks (15-22). There were 3 cases with woundinfection and no sequestrum formation. Conclusions: External fixation is a simple and effectivemeans of treating all types of open tibial shaft fractures

scholarly journals Treatment of tibial shaft fractures with Mitkovic type external fixation: Analysis of 100 patients

2017 ◽  
Vol 145 (11-12) ◽  
pp. 605-610
Author(s):  
Aleksandar Bozovic ◽  
Rade Grbic ◽  
Dragisa Milovic ◽  
Zlatan Elek ◽  
Dusan Petrovic ◽  
...  
Keyword(s):  
External Fixation ◽  
Functional Results ◽  
Healing Time ◽  
Type I ◽  
Tibial Shaft ◽  
Adult Males ◽  
Results Of Treatment ◽  
Shaft Fractures ◽  
Pin Site ◽  
Tibial Shaft Fractures

Introduction/Objective. Tibial shaft fractures (TSF) are one of the most common fractures. External fixation (EF) may be used to treat TSF. The aim of this study was to analyze the treatment of TSF with Mitkovic EF. Methods. The study included 100 patients with TSF treated with Mitkovic EF as the primary and definite method of treatment. The results are compared to those in the literature. Results. The patient group comprised 67% male and 33% female patients aged 10?71years. TSF is common in adult males in the fourth and fifth decades of life. The most common cause is falling with the twisting of the leg (59%). Closed fractures were observed in 76 patients (57.4% of type A AO, 25.4% of type B AO, and 17.1% of type C AO), and open fractures in 34 patients (50% of type I GA, 32.35% of type II GA, and 17.64% of type III GA). The average time period from injury to surgery was 2.5 days (the range being 4 hours to 9 days). Bone healing was achieved in 93% of patients. The average healing time was 18.4 weeks (the range being 11?32 weeks). The distribution of complications is as follows: 10% for minor pin site infections; 4% for major pin site infections; 6% for nonunion; 1% for acute respiratory distress syndrome; 2% for osteitis. There was no deep vein thrombosis nor neurovascular damage. EuroQol score was excellent in 82% of the patients. Conclusion. Mitkovic EF can be used for treating all types of TSF. Functional results of treatment by this method are excellent. The data analysis of the series does not differ from the data in the literature.

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