Open tibial fractures treated by anterior half-pin frame fixation.
Forty-two open tibial fractures were treated with anterior half-pin frame fixation, weight bearing as tolerated, and early reconstruction of the soft tissue envelope. Thirty fractures were followed to completion of therapy. The infection rate was 7.1%, nonunion rate, 3.0%, and pin tract infection rate, 0.5%. Problems of malunion (23.3%) and of secondary fractures around lag screws (17.6%) may be reduced by early cancellous bone grafting and limited use of minimal internal fixation.
Steinfield
P H
PH
Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, New York.
Cobelli
N J
NJ
Sadler
A H
AH
Szporn
M N
MN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005592:Fracture Fixation / Q000295:instrumentation; D006801:Humans; D008875:Middle Aged; D013978:Tibial Fractures / Q000145:classification / Q000601:surgery*