scholarly journals External fixation device in treatment of the upper third femoral open fractures caused by firearms

2005 ◽  
Vol 52 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Dragan Miric ◽  
Marko Bumbasirevic ◽  
N. Radulovic ◽  
Aleksandar Lesic
Keyword(s):  
External Fixation ◽  
Weight Bearing ◽  
Fracture Site ◽  
Open Fractures ◽  
Thoracic Wall ◽  
Full Weight Bearing ◽  
Fixation Device ◽  
Unique Type ◽  
External Fixation Device ◽  
Upper Third

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.

scholarly journals External fixation for the treatment of open fractures of the proximal humerus caused by firearms

2004 ◽  
Vol 132 (3-4) ◽  
pp. 92-95 ◽  
Author(s):  
Dragan Miric ◽  
Kenan Senohradski ◽  
Branislav Starcevic ◽  
Zoran Djordjevic
Keyword(s):  
External Fixation ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Early Mobilization ◽  
Open Fractures ◽  
Thoracic Wall ◽  
Unique Type ◽  
External Fixation Device ◽  
Upper Third ◽  
Adequate Management

Nine patients with open fractures of the proximal humerus were treated using an external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Radial nerve injury was present in five and two multiply injuried patients with thoracic wall and abdominal viscera were present. There were no major arterial injuries. Chronic osteitis with fistula and sequestra developed in one. There were no nonunions and no refractures. Minor painless limitation of shoulder and elbow motion presented in all patient. Upper-third humeral 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. On the other hand, the risk of infection is high following plate fixation. External fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early mobilization of the shoulder and elbow.

Ankle Fusion with the Hoffmann External Fixation Device∗

Foot & Ankle ◽  
1980 ◽  
Vol 1 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Andrew Newman ◽  
Charles C. Edwards
Keyword(s):  
External Fixation ◽  
Open Fractures ◽  
Fixation Device ◽  
Ankle Fusion ◽  
Different Types ◽  
External Fixation Device ◽  
Transmetatarsal Amputation ◽  
Equinus Deformity ◽  
Complex Cases

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.

scholarly journals Comminuted fracture of patella treated by primary Ilizarov external fixation: a case report

2020 ◽  
Vol 6 (4) ◽  
pp. 865
Author(s):  
Godhasiri Ponugoti ◽  
Harshad Mohanlal Shah ◽  
Sandeep Reddy ◽  
Namratha C. Kolsur
Keyword(s):  
External Fixation ◽  
External Fixator ◽  
Weight Bearing ◽  
Full Range ◽  
Fracture Site ◽  
Full Weight Bearing ◽  
Patellar Fracture ◽  
Ilizarov External Fixator ◽  
Conventional Procedure ◽  
Comminuted Fracture

<p>Tension band wiring (TBW) is the conventional procedure for transverse patellar fractures. Comminuted fractures of patella are difficult to treat by TBW. Routine osteosynthesis procedures are prone for infection, implant failure and symptomatic hardware in such cases. We are reporting a case of comminuted patellar fracture in a 62 years old lady treated by Ilizarov external fixator. Patient presented with h/o fall and injury to right knee. There was swelling of the right knee. She was unable to bear weight and move her knee. Radiograph revealed a comminuted patellar fracture. Pre-operative evaluation was done. Ilizarov external fixation was done under spinal anaesthesia with one half ring and 5 trans osseous Ilizarov wires. The patient was allowed full weight bearing. Knee ROM was allowed. The fixator was removed after 4 months and physiotherapy continued. The patient was followed up for 3 years. She has full range of knee movements and is able to squat and sit cross-legged and the radiographs show good union. The Ilizarov external fixator in this case helped us to treat a comminuted fracture without opening of the fracture site and has prevented complications.</p>

scholarly journals Severe degloving injury of the sole and heel treated by a reverse flow sural artery neurofasciocutaneous flap and a modified off-loading external fixation device

Injury Extra ◽  
2007 ◽  
Vol 38 (5) ◽  
pp. 187-192 ◽  
Author(s):  
Thomas Zgonis ◽  
Douglas T. Cromack ◽  
Thomas S. Roukis ◽  
Joann Orphanos ◽  
Vasilios D. Polyzois
Keyword(s):  
External Fixation ◽  
Reverse Flow ◽  
Fixation Device ◽  
Degloving Injury ◽  
External Fixation Device ◽  
Sural Artery

scholarly journals Version of Surgical Tactics for Spondyloptosis Treatment

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 ◽  
...  
Keyword(s):  
External Fixation ◽  
Clinical Results ◽  
Lumbosacral Spine ◽  
Spine Deformity ◽  
Fixation Device ◽  
Trunk Balance ◽  
External Fixation Device ◽  
Surgical Tactics ◽  
Complications Rate ◽  
Technical Simplification

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.

Epoxy-Pin External Skeletal Fixation for Management of Open Bone Fractures in Calves and Foals: A Review of 32 Cases

2019 ◽  
Vol 32 (03) ◽  
pp. 257-268
Author(s):  
Hari Aithal ◽  
Prakash Kinjavdekar ◽  
Abhijit Pawde ◽  
Prasoon Dubey ◽  
Rohit Kumar ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Weight Bearing ◽  
Fracture Site ◽  
Open Fractures ◽  
Adhesive Tape ◽  
Stable Fixation ◽  
Early Weight Bearing ◽  
Pin Fixation ◽  
Bone Fragments ◽  
The Subject

Objective The aim of this study was to evaluate epoxy-pin external skeletal fixation technique for the treatment of open fractures in calves and foals. Study Design Twenty-eight calves and four foals (weighing 45–105 kg) with fractures distal to the stifle or elbow made the subject for the retrospective study. The pins (2.0–3.0-mm Kirschner wires, crossed at 60–90°) were fixed at least at two locations in both proximal and distal bone fragments as per the case situation. The pins in the same plane were bent (∼2 cm from the skin) towards the fracture site or joint and were joined using an adhesive tape (additional pins used when required) to make a temporary scaffold of connecting bars or rings. Thoroughly mixed epoxy putty was applied along the pin scaffold (the epoxy columns were 20–25 mm diameter) and allowed to set for 45 to 60 minutes. All animals were evaluated based on various clinical and radiographic observations made at regular intervals. Results The epoxy-pin fixation was easy to apply and provided stable fixation of bone as indicated by early weight bearing, and fracture healing within 45 to 60 days (17/32 cases). The functional recovery was good to very good in 14 animals and satisfactory in nine cases by 12 months after removal of the fixator. Conclusions The multiplanar epoxy-pin external skeletal fixation provides stable fixation of unstable open fractures distal to the stifle or elbow joint; hence, it can be used to treat a variety of fractures in calves and foals weighing up to approximately 100 kg, especially open infected fractures of lower limb, which are difficult to treat by conventional techniques.

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