| Autor: |
Aljawadi, Ahmed, Islam, Amirul, Jahangir, Noman, Niazi, Noman, Elmajee, Mohammed, Reid, Adam, Wong, Jason, Pillai, Anand |
| Předmět: |
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| Zdroj: |
Archives of Orthopaedic & Trauma Surgery; Mar2022, Vol. 142 Issue 3, p425-434, 10p |
| Abstrakt: |
Background: Management of open fractures is challenging and requires a multidisciplinary team approach. This study aims to evaluate outcomes of open Gustilo–Anderson IIIB fractures managed at a single Ortho-Plastic centre following One-stage "Fix and Flap" approach. Methods: Prospective data review for patients presenting with Gustilo–Anderson IIIB Fractures to our centre and managed with one-stage "Fix and Flap" approach. Postoperative outcomes are presented only for the patients who had a minimum of 12 months postoperative follow-up. Results: 120 patients were included (83 males and 37 females). Mean age was 43 years (10–96). Tibia diaphysis was the most common site of injury (60%). 55.9% of injuries were road traffic accidents (RTA). 102 out of 120 patients had a minimum of 12 months follow-up (mean follow-up duration 25 months). Meantime from injury until definitive surgery was 7.71 days. Primary union achieved in 86.73%. Delayed union was encountered in 10.20%. 3.06% of patients had non-union. Limb salvage rate was 97.05% and Deep infection rate was only 0.98%. Conclusion: Our results showed that low infection rate, high limb salvage rate, and high union rate can be achieved in these complex injuries with meticulous technique, combined Ortho-Plastic (Fix and Flap) approach, and MDT input. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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