Treatment of open and comminuted mid-distal tibial fractures by bilateral external fixation combined with limited-internal fixation / Hongsuo Liang in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)

Public ISBD [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. Permalink : ./index.php?lvl=notice_display&id=102055 [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. Permalink : ./index.php?lvl=notice_display&id=102055

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