scholarly journals TThe Effect of Dynamic Interfragmentary Movement on the Mechanical Performance of External Fixation Devices for Open Tibial Fractures

2017 ◽  
Author(s):  
Thongchai Leetha ◽  
Veena Phunpeng ◽  
Supakit Rooppakhun
Keyword(s):  
External Fixation ◽  
Mechanical Performance ◽  
Tibial Fractures ◽  
Open Tibial Fractures ◽  
Fixation Devices ◽  
Interfragmentary Movement

Contributing Factors for Nonunion in Open Tibial Fractures Treated with External Fixation

1998 ◽  
Vol 33 (7) ◽  
pp. 1822
Author(s):  
Chang Wug Oh ◽  
Hee Soo Kyung ◽  
Byung Chul Park ◽  
Shin Youn Kim ◽  
Gun Wook Park
Keyword(s):  
External Fixation ◽  
Tibial Fractures ◽  
Contributing Factors ◽  
Open Tibial Fractures

Open Tibial Fractures Treated With the Ex-fi-re External Fixation System

1996 ◽  
Vol 326 ◽  
pp. 209-220 ◽  
Author(s):  
Per Helland ◽  
Asbj??rn B??e ◽  
Anders O. M??lster ◽  
Eirik Solheim ◽  
Markus Hordvik
Keyword(s):  
External Fixation ◽  
Tibial Fractures ◽  
Open Tibial Fractures ◽  
Fixation System

scholarly journals Immediate Interlocking Nailing versus External Fixation Followed by Delayed Interlocking Nailing for Gustilo Type IIIB Open Tibial Fractures

2007 ◽  
Vol 15 (2) ◽  
pp. 131-136 ◽  
Author(s):  
HJ Park ◽  
M Uchino ◽  
K Nakamura ◽  
M Ueno ◽  
Y Kojima ◽  
...  
Keyword(s):  
Standard Deviation ◽  
External Fixation ◽  
Deep Infection ◽  
Fracture Site ◽  
Tibial Fractures ◽  
Fracture Type ◽  
Infection Rates ◽  
Open Tibial Fractures ◽  
Interlocking Nailing ◽  
Type Iiib

Purpose. To compare immediate interlocking nailing with external fixation followed by delayed interlocking nailing, for Gustilo type IIIB open tibial fractures. Methods. 23 patients with Gustilo IIIB open tibial fractures were treated with either immediate unreamed interlocking nailing (n=9) or external fixation followed by delayed unreamed interlocking nailing (n=14). Patient age, sex ratio, fracture site, fracture type, and severity were similar in both groups. The time to union, deep infection rate, and nonunion rate in the 2 groups were compared. Results. In the immediate and delayed nailing groups, respective mean times to union were 21 (standard deviation [SD], 14) months and 14 (SD, 8) months; nonunion rates were 44% (4/9) and 36% (5/14), and deep infection rates were 22% (2/9) and 7% (1/14). All corresponding differences were not statistically significant. Conclusion. Prospective, randomised, multicentre studies are needed to assess whether there are significant differences between the 2 treatment methods.

Infection

2020 ◽  
pp. 125-134
Keyword(s):  
Lower Extremity ◽  
Antimicrobial Agents ◽  
Tibial Fractures ◽  
Open Tibial Fractures ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Fixation Devices ◽  
Fracture Population ◽  
Infective Complications ◽  
Established Infection

Infection is the most feared and challenging complication in the treatment of open tibial fractures. Microorganisms can adhere as a biofilm on the surface of damaged bone, necrotic tissue, and internal fixation devices, and become resistant to phagocytosis and most antimicrobial agents. Established infection can delay healing and recovery, cause permanent functional loss, and potentially lead to amputation of the affected limb. The incidence of infection after severe open tibial fractures was reported to be over 30% in the 1980s and 1990s. Although there is evidence of a possible reduction in incidence in the past decade, the Lower Extremity Assessment Project (LEAP) study has shown that severe lower extremity trauma continues to be associated with infective complications necessitating additional operative treatment in a significant number of cases. Furthermore, greater bacterial virulence and increasing age and associated co-morbidities of the fracture population ensure that infection after open trauma remains a challenge.

Sign in / Sign up

Export Citation Format

Share Document