|
The Journal of Bone and Joint Surgery, Vol 72, Issue 5 729-735, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc
External fixation and delayed intramedullary nailing of open fractures of the tibial shaft. A sequential protocol
PA Blachut, RN Meek and PJ O'Brien
Department of Orthopaedics, University of British Columbia, Vancouver General Hospital, Canada.
Between 1983 and 1989, forty-one open fractures of the tibial shaft were
treated with debridement and provisional external fixation, followed by
delayed soft-tissue closure and subsequent intramedullary nailing with
reaming. The average duration of external fixation was seventeen days
(range, six to fifty-two days). The average time between removal of the
fixator and intramedullary nailing was nine days (range, zero to
twenty-four days). Of thirty-nine patients who had adequate follow-up, two
(5 per cent) subsequently had a deep infection. Both infections healed,
with retention of the nail and without chronic osteomyelitis. There were
two nonunions and one delayed union. Satisfactory alignment was achieved in
thirty-seven patients (95 per cent). This sequential protocol for
treatment, which involved a short period of external fixation and thus
minimized colonization of the pin tracks, yielded excellent results and a
low rate of infection.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
J. J. Keeling, D. E. Gwinn, S. M. Tintle, R. C. Andersen, and F. X. McGuigan
Short-Term Outcomes of Severe Open Wartime Tibial Fractures Treated with Ring External Fixation
J. Bone Joint Surg. Am.,
December 1, 2008;
90(12):
2643 - 2651.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. G. Zalavras, R. E. Marcus, L. S. Levin, and M. J. Patzakis
Management of open fractures and subsequent complications.
J. Bone Joint Surg. Am.,
April 1, 2007;
89(4):
884 - 895.
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. J. Dougherty, C. Silverton, Y. Yeni, S. Tashman, and R. Weir
Conversion From Temporary External Fixation to Definitive Fixation: Shaft Fractures
J. Am. Acad. Ortho. Surg.,
September 1, 2006;
14(10):
S124 - S127.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. V. Giannoudis, C. Papakostidis, and C. Roberts
A review of the management of open fractures of the tibia and femur
J Bone Joint Surg Br,
March 1, 2006;
88-B(3):
281 - 289.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. S. Roberts, H.-C. Pape, A. L. Jones, A. L. Malkani, J. L. Rodriguez, and P. V. Giannoudis
Damage Control Orthopaedics. Evolving Concepts in the Treatment of Patients Who Have Sustained Orthopaedic Trauma
J. Bone Joint Surg. Am.,
February 1, 2005;
87(2):
434 - 449.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S Grannum, A Gardner, and K Porter
Damage control in orthopaedic trauma
Trauma,
October 1, 2004;
6(4):
279 - 284.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. G. Zalavras and M. J. Patzakis
Open Fractures: Evaluation and Management
J. Am. Acad. Ortho. Surg.,
May 1, 2003;
11(3):
212 - 219.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. J. Nowotarski, C. H. Turen, R. J. Brumback, and J. M. Scarboro
Conversion of External Fixation to Intramedullary Nailing for Fractures of the Shaft of the Femur in Multiply Injured Patients
J. Bone Joint Surg. Am.,
June 1, 2000;
82(6):
781 - 781.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
S. A. OLSON
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Open Fractures of the Tibial Shaft. Current Treatment*{{dagger}}
J. Bone Joint Surg. Am.,
September 1, 1996;
78(9):
1428 - 37.
[Full Text]
|
|
|
|
