Click for new scientific resources and news about Corona[COVID-19]

Paper Information

Journal:   IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS)   MARCH 2008 , Volume 33 , Number 1; Page(s) 7 To 11.
 
Paper: 

TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?

 
 
Author(s):  TABATABAEI SAEID*, HOSSEINI E.
 
* DEPARTMENT OF ORTHOPEDICS RAZI HOSPITAL, JONDISHAPOUR UNIVERSITY OF MEDICAL SCIENCES, AHWAZ, IRAN
 
Abstract: 

Background: The treatment of open tibial fractures is still an orthopaedic challenge and full of complications. In many cases the use of external fixator that has been known as a nonunion machine is obligatory with a high incidence of pin track infection and other complications. The aim of this study was to compare the use of external fixation as a definite method for treatment of open tibial fractures with its subsequent conversion to internal fixation or casting.

Methods: Sixty-seven young patients with type III open tibial fractures (Gustilo-Anderson classification) were treated with half pin external fixation. Twenty of them were converted into internal fixation after a period of 6-8 weeks. For another twenty-five, external fixator was removed and treatment continued with casting for a period lasting from 16 to 20 weeks. And for twenty two patients the fixator continued until complete union. The patients followed up for 10-16 months and were evaluated in terms of union time, union rate, infection, range of motion, malunion, non-union, nerve injury, and reduction.

Results: There was a meaningful difference only in the union time and superficial infection between the first group and the other two groups.

Conclusion: The conversion of external to internal fixation can be considered as a safe, effective, less complicated, and more acceptable method for the treatment of open tibial fractures.

 
Keyword(s): EXTERNAL FIXATION, CONVERSION, UNION
 
References: 
  • ندارد
 
  pdf-File tarjomyar Yearly Visit 88
 
Latest on Blog
Enter SID Blog