External Fixation of Extra-Articular Open Tibial Fractures
Journal Title: Acta Facultatis Medicae Naissensis - Year 2018, Vol 34, Issue 4
Abstract
External fixation is one of the most commonly used methods for the treatment of open tibial fractures. In everyday practice, for fixation of open tibial fractures we use the external fixator by Mitković. External fixator is unilateral and easy to use. This retrospective study included 59 patients with 59 open tibial fractures, of which 37 (62.71%) men and 22 (37.28 %) women, with mean age 43.92 (16-84) years. The fractures were localized in the proximal part of the tibia (11), tibial shaft (29) and distal part of the tibia (19). According to Gustilo classification, 12 (20.33 %) patients had Type I open tibial fractures, 15 (25.42%) patients had Type II open tibial fractures, and 32 (54.23%) (13 IIIA, 17 IIIB, 2 IIIC) patients had Type III open tibial fractures. The union rate without complications was 77.96 % (46). Nonunion and delayed union rate was 15.25 % (9). Malunion rate was 6.77% (4). Pin tract infection rate was 13.55 % (8). Compartment syndrome was observed in 5.08 % (3) of patients. The patients had fasciotomy done and the external fixator applied. The average time of fracture healing was 26 weeks (6.06 months). External fixation of open tibial fractures is a simple and effective method that enables the safe healing of fractures, early mobilization of patients, early weight-bearing as well as early rehabilitation.
Authors and Affiliations
Saša Milenković, Milan Mitković
Congenital Posteromedial Bowing of the Tibia: A Single Center Experience - - - Kongenitalna posteromedijalna angulacija tibije: iskustva jednog centra
Congenital posteromedial bowing of the tibia (CPMBT) is a rare congenital anomaly of the lower limbs. The aim of the present study was to analyze our experience in the treatment of CPMBT. A retrospective study of patient...
VRIJEDNOST PRVOG PREGLEDA RAZVOJNOG POREMEĆAJA KUKA - NAŠA ISKUSTVA
Razvojni poremećaj kuka (RPK) označava izraženu dislokaciju (lateralizaciju i kranijalizaciju) glave femura u odnosu na slabije razvijeni (hipoplastičan i strmiji) acetabulum. Cilj rada bio je da se utvrdi ukupan broj i...
ANALIZA STUDENTSKIH GREŠAKA U PRIMENI ENGLESKOG JEZIKA ZA POTREBE MEDICINARA
Veoma je bitno da su studenti medicine svesni ne samo svojih trenutnih i budućih potreba u odnosu na medicinski engleski jezik, već i poteškoća i problema koje imaju kada je u pitanju poznavanje opšteg engleskog jezika....
LATE DIAGNOSED CERVICAL SPINE TBC SPONDYLITIS: CASE REPORT
Cervical tuberculosis is a rare disease with a high complication rate. Tuberculosis of the cervical spine is reported in about 6-9% of all cases of spinal tuberculosis. Early diagnosis and treatment of spinal tuberculosi...
Psychometric Development of Chemotherapy Side Effects Fear Scale - - - Izrada i ispitivanje pouzdanosti i validnosti upitnika za procenu nivoa straha bolesnika od neželjenih dejstava hemoterapije
Anxiety, depression and fear in general are the most common emotional problems in people with cancer and it is necessary to recognize them. The patients’ attitude towards the side effects of chemo-therapy has changed sig...