[External fixator in complicated tibial fracture. Effect of various fixation systems on fracture healing and rate of complications].
In a retrospective analysis 93 external fixations with different rigidity after open tibial shaft fractures have been reviewed and compared concerning complications and healing time. Fracture consolidation was attained in fixation with unilateral frame after 14 weeks, with bilateral v-shaped fixator after 19 weeks and with triangular configuration in about 28 weeks. Subsequent internal fixation or extension to v-shaped fixation was necessary in about 33% after initial unilateral half-pin frame, whereas 90% of the two rigid systems could be left in situ until fracture consolidation was achieved. Cancellous bone grafts were performed in 58% after triangular, in 40% after v-shaped, and 28% after unilateral fixation. Pin infections were observed in 36% after triangular, 25% after bilateral v-shaped, and in 15% after unilateral fixation.
Dávid
A
A
Chirurgische Universitätsklinik und Poliklinik Bergmannsheil Bochum.
Pommer
A
A
Muhr
G
G
Bülhoff
H
H
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D003131:Combined Modality Therapy; D016267:External Fixators; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D017102:Fracture Healing / Q000502:physiology*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
Fixateur externe beim komplizierten Unterschenkelschaftbruch. Einfluss verschiedener Fixationssysteme auf Bruchheilung und Komplikationsrate.