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动态外固定器在开放性胫骨骨折治疗前瞻性评估中的适用性

The Applicability of Dynamic External Fixator in a Prospective Evaluation of Open Tibial Fracture Treatment.

作者信息

Bezerra Bruna S, Araujo Thaisa A, Cardonia Gustavo G, Couto João R Lima, Rodrigues Fábio L

机构信息

Department of Orthopaedics and Traumatology, Teaching Hospital, Faculty of Medicine, ABC-Mário Covas State Hospital, São Paulo, Brazil.

Department of Orthopaedics and Traumatology Discipline, Faculty of Medicine ABC (FMABC), Santo André, São Paulo; Trauma and External Fixators Group at FMABC, Santo Andre, Brazil.

出版信息

Strategies Trauma Limb Reconstr. 2024 Jan-Apr;19(1):36-39. doi: 10.5005/jp-journals-10080-1606.

DOI:10.5005/jp-journals-10080-1606
PMID:38752189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11091899/
Abstract

AIM

This prospective study assessed the clinical and radiological outcomes of open tibia fractures treated with a dynamic external fixator.

MATERIALS AND METHODS

Twenty-five patients underwent surgical debridement and stabilisation with a dynamic external fixator between November 2016 and April 2022. Regular follow-up evaluated bone healing progression.

RESULTS

Favourable outcomes were demonstrated in 20 patients. However, there were three cases of non-union, two of which subsequently deformed, and two cases of pin site-related infection. There were no fracture site infections.

CONCLUSION

This study demonstrates the use of dynamic external fixation in the treatment of open tibia fractures. The low incidence of complications suggests its effectiveness and potential.

HOW TO CITE THIS ARTICLE

Bezerra BS, Araujo TA, Cardonia GG, . The Applicability of Dynamic External Fixator in a Prospective Evaluation of Open Tibial Fracture Treatment. Strategies Trauma Limb Reconstr 2024;19(1):36-39.

摘要

目的

本前瞻性研究评估了使用动力外固定器治疗开放性胫骨骨折的临床和影像学结果。

材料与方法

2016年11月至2022年4月期间,25例患者接受了手术清创并用动力外固定器进行固定。定期随访评估骨愈合进展情况。

结果

20例患者取得了良好的结果。然而,有3例骨不连,其中2例随后出现畸形,还有2例与针道相关的感染。未发生骨折部位感染。

结论

本研究证明了动力外固定在开放性胫骨骨折治疗中的应用。并发症发生率低表明了其有效性和潜力。

如何引用本文

贝泽拉·B·S、阿劳若·T·A、卡尔多尼亚·G·G等。动力外固定器在开放性胫骨骨折治疗前瞻性评估中的适用性。《创伤肢体重建策略》2024年;19(1):36 - 39。

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本文引用的文献

1
Bone tissue repair in patients with open diaphyseal tibial fracture treated with biplanar external fixation or reamed locked intramedullary nailing.采用双平面外固定或扩髓带锁髓内钉治疗的开放性胫骨干骨折患者的骨组织修复
Injury. 2014 Nov;45 Suppl 5:S32-5. doi: 10.1016/S0020-1383(14)70018-X.
2
External fixation as a primary and definitive treatment for tibial diaphyseal fractures.外固定作为胫骨干骨折的主要确定性治疗方法。
Strategies Trauma Limb Reconstr. 2009 Oct;4(2):81-7. doi: 10.1007/s11751-009-0062-3. Epub 2009 Aug 28.
3
A biomechanical and histological analysis of standard versus hydroxyapatite-coated pins for external fixation.用于外固定的标准针与羟基磷灰石涂层针的生物力学和组织学分析
J Biomed Mater Res B Appl Biomater. 2008 Aug;86(2):417-21. doi: 10.1002/jbm.b.31036.
4
Treatment of type IIIA open fractures of tibial shaft with Ilizarov external fixator versus unreamed tibial nailing.采用伊利扎洛夫外固定器与非扩髓胫骨髓内钉治疗胫骨骨干ⅢA型开放性骨折的对比研究
Arch Orthop Trauma Surg. 2007 Oct;127(8):617-23. doi: 10.1007/s00402-007-0332-9. Epub 2007 May 3.
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Operative treatment of III grade open fractures of the tibial diaphysis.胫骨干Ⅲ度开放性骨折的手术治疗
Prilozi. 2006 Jul;27(1):121-31.
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Intramedullary nailing following external fixation in femoral and tibial shaft fractures.股骨和胫骨干骨折外固定后髓内钉固定
J Orthop Trauma. 2005 Feb;19(2):140-4. doi: 10.1097/00005131-200502000-00012.
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Management of open tibial fractures at Ayub Teaching Hospital, Abbottabad.
J Ayub Med Coll Abbottabad. 2001 Jan-Mar;13(1):22-3.
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Treatment of open fractures of the shaft of the tibia.胫骨干开放性骨折的治疗
J Bone Joint Surg Br. 2001 Jan;83(1):62-8. doi: 10.1302/0301-620x.83b1.10986.
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Advantages and disadvantages of pinless external fixation.
Injury. 2000 Dec;31(10):805-9. doi: 10.1016/s0020-1383(00)00131-5.
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