[article] 
inActa Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 745-750

Titre :	Treatment of open and comminuted mid-distal tibial fractures by bilateral external fixation combined with limited-internal fixation
Type de document :	texte imprimé
Auteurs :	Hongsuo Liang ; Lin$ Li ; Jingye Yang
Année de publication :	2021
Article en page(s) :	p. 745-750
Note générale :	https://doi.org/10.52628/87.4.20
Langues :	Anglais (eng)
Mots-clés :	Tibial shaft fracture  External fixation  internal fixation
Résumé :	Open and comminuted mid-distal fractures often result from high-energy trauma, and a concomitant poor blood supply often leads to skin necrosis, infection, and bone union. To circumvent such complications, we used limited-reduction and bilateral-external fixators to treat open and comminuted mid-distal tibial fractures with compromised soft tissue. A retrospective series of 34 patients who had open and comminuted mid-distal tibial fractures and treated by bilateral-external fixators with limited-internal fixation were analyzed. Patients were followed for 10-25 months (mean: 12 months) post-treatment and osseous union was achieved in each case. The average union time was 16.3 weeks. Based on the Johner- Wruhs criteria, the retrospective series consisted of 21 ‘excellent’ cases, 8 ‘good’ cases, 4 ‘fair’ cases, and a ‘poor’ case. The total percentage of ‘excellent’ and ‘good’ cases of fracture recovery was 85.29%. Bilateral-external and limited-internal fixators pro- vided high bone union rate and excellent ankle-joint motion. Hence, it is an appropriate surgical approach for treating open and comminuted mid-distal tibial fractures with compromised soft tissue.
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[article] Treatment of open and comminuted mid-distal tibial fractures by bilateral external fixation combined with limited-internal fixation [texte imprimé] / Hongsuo Liang ; Lin$ Li ; Jingye Yang . - 2021 . - p. 745-750.
https://doi.org/10.52628/87.4.20
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 745-750

Mots-clés :	Tibial shaft fracture  External fixation  internal fixation
Résumé :	Open and comminuted mid-distal fractures often result from high-energy trauma, and a concomitant poor blood supply often leads to skin necrosis, infection, and bone union. To circumvent such complications, we used limited-reduction and bilateral-external fixators to treat open and comminuted mid-distal tibial fractures with compromised soft tissue. A retrospective series of 34 patients who had open and comminuted mid-distal tibial fractures and treated by bilateral-external fixators with limited-internal fixation were analyzed. Patients were followed for 10-25 months (mean: 12 months) post-treatment and osseous union was achieved in each case. The average union time was 16.3 weeks. Based on the Johner- Wruhs criteria, the retrospective series consisted of 21 ‘excellent’ cases, 8 ‘good’ cases, 4 ‘fair’ cases, and a ‘poor’ case. The total percentage of ‘excellent’ and ‘good’ cases of fracture recovery was 85.29%. Bilateral-external and limited-internal fixators pro- vided high bone union rate and excellent ankle-joint motion. Hence, it is an appropriate surgical approach for treating open and comminuted mid-distal tibial fractures with compromised soft tissue.
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