Dynastab S: A new concept for high energy fractures of the distal tibia
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 4
Abstract
Background. High energy fractures of the distal tibia („pylon fractures”) usually result in severe reduction of the range of motion of the superior ankle joint. If there is severe soft tissue trauma coexisting with the fractures, the possibilities for surgical treatment are limited. Our study examined the suitability of the DYNASTAB S external fixator (for ankle joint stabilization). Material and methods. We studied 25 adult patients (15 men, 10 women), treated from April 2001 to March 2003, to whom the DYNASTAB-S stabilizer was applied for an average of 10.5 weeks.Results. In all patients bone union was achieved, with a good range of motion in the talo-crural joint. All patients tolerated the applied treatment well. The average hospital stay was 9 days. There were 2 cases of transient inflammatory reaction of the skin around the screws, and 1 case of algodystrophy syndrome, which resolved after physical treatment combined with pharmacotherapy.Conclusions. The Dynastab S external fixator is very successful in the treatment of fractures with poor prognosis in traditional methods of conservative and surgical treatment, providing bone union and good functional efficiency of the superior ankle joint. The use of the mechanical joint imitating the movement of the injured ankle joint allows for early joint rehabilitation without loss of stability of the fracture. Adaptation of the device to the operated limb is excellent. The Dynastab S external fixator can be recommended for wider use in the treatment of pylon fractures.
Authors and Affiliations
Jarosław Deszczyński, Janusz Karpiński, Marcin Ziółkowski, Artur Stolarczyk, Robert Surowiecki, Andrzej Stasiak
Keywords
Related Articles
- EP ID EP56199
- DOI -
- Views 138
- Downloads 0
Objawy, diagnostyka i leczenie operacyjne chrzęstniaków śródkostnych w oparciu o<br /> własne doświadczenia.<br />
Streszczenie: Materiał i metody: W Wojewódzkim Szpitalu Chirurgii Urazowej im. J. Daaba w Piekarach Śląskich w Oddziale Guzów i Nowotworów Kości w latach 1998-2006 leczono z powodu chrzęstniaka 150 pacjentów w wieku od 1...
A Review of Current Management of Metacarpal Base Fractures
AbstractMetacarpal (MCP) base fractures are less commonly encountered than diaphyseal or metacarpal neck fractures. These are difficult injuries to diagnose and are challenging to treat. Neglect of these injuries, eithe...
Totalna endoprotezoplastyka stawu biodrowego u chorych do 30 roku życia – wczesne wyniki
Wstęp. Endoprotezoplastyka stawu biodrowego jest powszechnie przyjętą metodą leczenia schorzeń stawu biodrowego. Praca przedstawia wyniki kliniczne i radiologiczne plastyki totalnej wykonywanej u młodych chorych.Materiał...
Factors Influencing Bone Regenerate Healing in Distraction Osteogenesis
Background. The dynamics and effectiveness of new bone formation in the Ilizarov method varies according to different factors. Some of them may result in substantial prolongation of treatment time. The lengthening index...
Arthroscopic evaluation of ultrasonography and magnetic resonance imaging for diagnosis of rotator cuff tear
IntroductionRotator cuff tear – diagnosis; comparison of MRI, ultrasonographic and arthroscopic findingsMethodsRetrospective study – 20 patients treated for shoulder pain due to rotator cuff tear, initially conservativel...