ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
|
|
|
|
ORIGINAL RESEARCH ARTICLES |
The Treatment Of Adult Segmented Tibial Shaft Fractures With Ilizarov Circular External Fixator
Dr. Mehmet TÜKENMEZ,a Dr. Gündüz TEZERENb
aOrtopedi ve Travmatoloji Kliniği, Karaman Devlet Hastanesi, KARAMANbOrtopedi ve Travmatoloji AD, Cumhuriyet Üniversitesi Tıp Fakültesi, SİVAS
Objective: We aimed to determine the outcomes of patients with tibial segmental (type C) fractures that were treated with Ilizarov circular external fixators primarily.
Material and Methods: The present study included 10 male patients. The mean age was 35 years (18-75 years). All fractures were type C according to AO/ATO classification. Nine out of them were open fractures, whereas one was closed fracture. Open fractures were classified according to Gustilo-Anderson classification. The mean time between onset of injury and operation was 17,8 days (11-27 days). The mean follow-up was 37 months (21-68 months). Clinical outcomes were assessed according to Karstrom-Olerud criteria.
Results: Complete union was achieved in 9 fractures. Infected non-union developed in only one patient. Twenty-nine out of 110 pins used (26.4%) had pin tract infections (15 were grade I; 9 were grade II; 5 were grade 3). There was no neurological complication such as peroneal nerve palsy. Clinical results according to Karstrom-Olerud criteria were good in 4 patients, satisfactory in 2 patients, fair in 3 patients, poor in 1 patient.
Conclusion: Besides several disadvantages of circular external fixator, closed reduction with concomitant fixation with circular external fixator is an efficient treatment method for the management of open or closed tibial segmental shaft fractures.Keywords: Tibia; fractures, open; treatment outcomeTurkiye Klinikleri J Med Sci 2007, 27:379-385
|
|
|
|
|
