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 125
- Downloads 0
Zmienność kąta między linią przeznadkłykciową a styczną do tylnej powierzchni kłykci kości udowej
[b]Wstęp. [/b]Powodzenie endoprotezoplastyki kolana zależy w dużym stopniu od właściwego osadzenia implantów. Zazwyczaj cięcie kości udowej pod kształt endoprotezy wykonuje się w 3° rotacji zewnętrznej względem tylnej po...
Inveterate (42-year-old) Hip Dislocation Treated with Arthroplasty. A Case Study
Dislocation of the hip usually results from a high-energy injury sustained during a road accident. Inveterate dislocations persisting for many months or years are extremely rare. Selection of an appropriate treatment met...
Wyniki leczenia idiopatycznego skrzywienia kręgosłupa z zastosowaniem dynamicznego gorsetu SpineCor
Streszczenie Wstęp W zachowawczym leczeniu skrzywienia kręgosłupa zastosowanie znajdują gorsety ortopedyczne. Od niedawna poza sztywnymi konstrukcjami dostępne są tzw. gorsety dynamiczne SpineCor o elastycznej konstrukcj...
Predicting Persistent Unclear Pain Following Primary Total Knee Arthroplasty
Chronic post-surgical pain can be a considerable issue for patients undergoing primary total knee arthroplasty. According to the literature, persistent knee pain is experienced by up to 44% of patients. Most studies on t...
Surgical treatment of dysplastic and isthmic spondylolisthesis
Background. Dysplastic spondylolisthesis results from a congenital malformation of the vertebral processes, sometimes accompanied by spina bifida; its progression causes subluxation or dislocation in the intervertebral j...