External skeletal fixation of the tibial shaft fractures
Aim. To present the possibility of a successful use of external skeletal fixation in treating the open and closed tibial shaft fractures with Mitković’s external fixator. Methods. External fixation was used in 115 patients with 118 fresh tibial shaft fractures, 82 males (71.3%) and 33 females (28.7%...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2005-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500501011M.pdf |
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| _version_ | 1849395416675647488 |
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| author | Milenković Saša Mitković Milorad B. Radenković Mile |
| author_facet | Milenković Saša Mitković Milorad B. Radenković Mile |
| author_sort | Milenković Saša |
| collection | DOAJ |
| description | Aim. To present the possibility of a successful use of external skeletal fixation in treating the open and closed tibial shaft fractures with Mitković’s external fixator. Methods. External fixation was used in 115 patients with 118 fresh tibial shaft fractures, 82 males (71.3%) and 33 females (28.7%), average age 43.92 years (16−84). Open tibial shaft fractures were present in 37 (31.36%). All the fractures were treated with Mitković’s external fixator type M 20. Results. The results of external fixation were excellent or good in 94.07% of the cases, and bad in 5.08%. Pin tract infection appeared in 7 (5.93%) patients. In only 3 cases an external fixator was removed and treatment continued with the functional braces. Nonunion occurred in 6 (5.08%) patients, of which 4 were with open fractures (2 Gustilo type IIIB, 1 Gustilo type IIIA, 1 Gustilo type II) and 2 with the segment fractures. Compartment syndrome was observed in 1 (0.85%) patient with closed fracture. Malunion was found in 2 (1.69%) patients. Conclusion. External fixation of tibial shaft fractures is a simple and effective method to enable the safe healing of fractures, early mobilization of the patients, early weight-bearing, as well as early rehabilitation. Fixation of tibial shaft fractures was unilateral with convergent pins orientation, and there was also a possibility of compression and distraction. |
| format | Article |
| id | doaj-art-ab9654f5880c4bc386d5dc2d08573a76 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2005-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-ab9654f5880c4bc386d5dc2d08573a762025-08-20T03:39:37ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502005-01-01621111510.2298/VSP0501011MExternal skeletal fixation of the tibial shaft fracturesMilenković SašaMitković Milorad B.Radenković MileAim. To present the possibility of a successful use of external skeletal fixation in treating the open and closed tibial shaft fractures with Mitković’s external fixator. Methods. External fixation was used in 115 patients with 118 fresh tibial shaft fractures, 82 males (71.3%) and 33 females (28.7%), average age 43.92 years (16−84). Open tibial shaft fractures were present in 37 (31.36%). All the fractures were treated with Mitković’s external fixator type M 20. Results. The results of external fixation were excellent or good in 94.07% of the cases, and bad in 5.08%. Pin tract infection appeared in 7 (5.93%) patients. In only 3 cases an external fixator was removed and treatment continued with the functional braces. Nonunion occurred in 6 (5.08%) patients, of which 4 were with open fractures (2 Gustilo type IIIB, 1 Gustilo type IIIA, 1 Gustilo type II) and 2 with the segment fractures. Compartment syndrome was observed in 1 (0.85%) patient with closed fracture. Malunion was found in 2 (1.69%) patients. Conclusion. External fixation of tibial shaft fractures is a simple and effective method to enable the safe healing of fractures, early mobilization of the patients, early weight-bearing, as well as early rehabilitation. Fixation of tibial shaft fractures was unilateral with convergent pins orientation, and there was also a possibility of compression and distraction.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500501011M.pdftibial fracturesfracture fixationexternal fixatorsfracture healingtreatment outcome |
| spellingShingle | Milenković Saša Mitković Milorad B. Radenković Mile External skeletal fixation of the tibial shaft fractures Vojnosanitetski Pregled tibial fractures fracture fixation external fixators fracture healing treatment outcome |
| title | External skeletal fixation of the tibial shaft fractures |
| title_full | External skeletal fixation of the tibial shaft fractures |
| title_fullStr | External skeletal fixation of the tibial shaft fractures |
| title_full_unstemmed | External skeletal fixation of the tibial shaft fractures |
| title_short | External skeletal fixation of the tibial shaft fractures |
| title_sort | external skeletal fixation of the tibial shaft fractures |
| topic | tibial fractures fracture fixation external fixators fracture healing treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500501011M.pdf |
| work_keys_str_mv | AT milenkovicsasa externalskeletalfixationofthetibialshaftfractures AT mitkovicmiloradb externalskeletalfixationofthetibialshaftfractures AT radenkovicmile externalskeletalfixationofthetibialshaftfractures |