scholarly journals Clinical Study of Functional Outcome of External Fixator Device as a Primary Definitve Treatment of Open Tibia Fracture

2021 ◽  
Keyword(s):  
Clinical Study ◽  
Functional Outcome ◽  
External Fixator ◽  
Tibia Fracture ◽  
Open Tibia Fracture

scholarly journals The functional outcome and quality of life following open diaphyseal tibial fractures

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Nazri Mohd Yusof ◽  
Mohd Shahidan Noor Rahin
Keyword(s):  
Quality Of Life ◽  
Functional Outcome ◽  
Open Fracture ◽  
Tibia Fracture ◽  
Tibial Fractures ◽  
Functional Score ◽  
Non Union ◽  
Open Tibia Fracture ◽  
Grade Ii

Introduction: The clinical outcome of open tibia fracture been extensively studied in many institutions. However, the functional outcome and quality of life has not been widely studied. The aim of this study is to evaluate the functional outcome and quality of life for patients with open tibia fracture that were treated in Hospital Tengku Ampuan Afzan. Methods: Between 2009 and 2010, we treated 33 patients with open diaphyseal tibial fractures with a minimum period of one year follow up. There were 31 males and 2 females; the mean age of 29 years old (range: 10 to 60). Four patients sustained open fracture grade I, 13 grade II, 12 grade IIIA and 4 with grade IIIB. All patients who fulfill the inclusion criteria were called for interview in the clinic by the investigator. The outcome that were analyzed include health related quality of life (SF36) and Lower Extremity Functional Score (LEFS). Results: All except one fracture achieve union. One patient with grade IIIB open fracture developed infected non union. Quality of life is satisfactory in all domains. The functional outcome score was significantly reduced in grade IIIB (48.5) as compare to other grade (grade I 74.2, grade II 70.4, grade IIIA 74.1). Conclusions: The quality of life and the functional outcome worsened with increasing severity of fracture.

scholarly journals Escherichia hermannii as the sole cause of osteomyelitis in a patient with an open tibial shaft fracture

2019 ◽  
Vol 12 (11) ◽  
pp. e231206
Author(s):  
Jocelyn Compton ◽  
Malynda Wynn ◽  
Michael C Willey ◽  
Poorani Sekar
Keyword(s):  
Shaft Fracture ◽  
Open Reduction Internal Fixation ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Tibial Shaft Fracture ◽  
Primary Wound Closure ◽  
Irrigation And Debridement ◽  
Open Tibia Fracture ◽  
Monomicrobial Infection

Escherichia hermannii is a rare monomicrobial cause of infection in humans. E. hermannii has never before been reported as the sole isolate from an infected open tibia fracture. We present a case of E. hermannii infection after a type III open tibia fracture. The patient was initially treated with irrigation and debridement, open reduction internal fixation and primary wound closure. However, after 8 weeks, he developed a draining wound and infection at the fracture site. He required a repeat debridement, hardware removal, external fixation and 6 weeks of intravenous ceftriaxone for treatment. At 2-year follow-up, he remains infection free, asymptomatic and continues to work with excellent functional outcomes. This case adds to the growing literature that evidences E. hermannii as an organism that can be pathogenic, virulent and cause monomicrobial infection.

scholarly journals The Use of the S-Quattro Dynamic External Fixator for the Treatment of Intra-Articular Phalangeal Fractures: A Review of the Literature

2012 ◽  
Vol 6 (1) ◽  
pp. 54-59 ◽  
Author(s):  
J.S Bhamra ◽  
W.S Khan ◽  
P Pastides
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Current Literature ◽  
External Fixator ◽  
Operative Time ◽  
Rigid Fixation ◽  
Review Of The Literature ◽  
Poor Functional Outcome ◽  
Younger Patients ◽  
Phalangeal Fractures

Intra-articular phalangeal fractures are a common injury. If left untreated, these injuries can lead to poor functional outcome with severe dehabilitating consequences, especially in younger patients.The S-Quattro external fixator device (Surgicraft®, UK) can be used to treat such injuries. Its use has been widely documented and has shown many advantages in comparison to other conventional treatments. Advantages include reduced operative time, rigid fixation and early range of motion.We present a review of the current literature and use of the S-Quattro serpentine system in the management of intraarticular phalangeal fractures.

scholarly journals Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Chelsea E. Minoughan ◽  
Adam P. Schumaier ◽  
Frank R. Avilucea
Keyword(s):  
Soft Tissue ◽  
Wound Closure ◽  
Distal Tibia ◽  
Soft Tissue Defect ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Primary Wound Closure ◽  
Tissue Healing ◽  
Intramedullary Canal ◽  
Open Tibia Fracture

Case. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.

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