Acute shortening and re-lengthening in the management of bone and soft-tissue loss in complicated fractures of the tibia
| Autor: | Mahmoud A. El-Rosasy |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Soft Tissue Injuries Adolescent External Fixators medicine.medical_treatment Metaphysis Bone healing Osteotomy Fractures Open Bone Lengthening Humans Surgical Wound Infection Medicine Orthopedics and Sports Medicine Tibia Child Fracture Healing Wound Healing Bone Transplantation Palsy business.industry Soft tissue Middle Aged medicine.disease Surgery Radiography Tibial Fractures Osteopenia Treatment Outcome medicine.anatomical_structure Patient Satisfaction Fractures Ununited Orthopedic surgery Female business Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :80-88 |
| ISSN: | 2044-5377 0301-620X |
| Popis: | We have managed 21 patients with a fracture of the tibia complicated by bone and soft-tissue loss as a result of an open fracture in 10, or following debridement of an infected nonunion in 11, by resection of all the devitalised tissues, acute limb shortening to close the defect, application of an external fixator and metaphyseal osteotomy for re-lengthening. The mean bone loss was 4.7 cm (3 to 11). The mean age of the patients was 28.8 years (12 to 54) and the mean follow-up was 34.8 months (24 to 75). All the fractures united with a well-aligned limb. The mean duration of treatment for the ten grade-III A+B open fractures (according to the Gustilo-Anderson classification) was 5.7 months (4.5 to 8) and for the nonunions, 7.6 months (5.5 to 12.5). Complications included one refracture, one transient palsy of the peroneal nerve and one equinus contracture of 10°. |
| Databáze: | OpenAIRE |
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