Ilizarov external fixator for open fractures of the tibial shaft

被引：40

作者：

Hosny, G. ^{[1
]}

Fadel, M. ^{[2
]}

机构：

[1] Benha Univ, Dept Orthoped Surg, Banha, Egypt

[2] Menia Univ, Dept Orthoped Surg, Al Minya, Egypt

来源：

INTERNATIONAL ORTHOPAEDICS | 2003年 / 27卷 / 05期

关键词：

Iliac Crest Bone Grafting; Fracture Grade; Bone Transport; Open Tibial Fracture; Grade IIIB;

D O I：

10.1007/s00264-003-0476-3

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Between December 1993 and 1999 we treated 34 open tibial diaphyseal fractures. Thirty patients were available for evaluation with a mean follow-up after fracture union of 40.5 (24-80) months. Patient average age was 33.1 (15-71) years. Two fractures were grade I, 16 grade II, six grade IIIA, five grade IIIB and one grade IIIC. The wound was debrided and the bone fixed with Ilizarov device. Soft-tissue healing was achieved through Z-plasty, delayed primary closure, split-thickness skin grafting, pedicle flaps and skin traction, and all fractures united with an average 5.6 (3-15.4) months. In 28 patients the results were excellent and good, in one fair and in one poor. Despite numerous complications the use of Ilizarov external fixator provides initial and definitive fracture stability.

引用

页码：303 / 306

页数：4

共 13 条

[1] Treatment of open fractures of the shaft of the tibia - A systematic overview and meta-analysis [J].