Abstract
Between December 1993 and 1999 we treated 34 open tibial diaphyseal fractures. Thirty patients were available for evaluation with a mean follow-up after fracture union of 40.5 (24–80) months. Patient average age was 33.1 (15–71) years. Two fractures were grade I, 16 grade II, six grade IIIA, five grade IIIB and one grade IIIC. The wound was debrided and the bone fixed with Ilizarov device. Soft-tissue healing was achieved through Z-plasty, delayed primary closure, split-thickness skin grafting, pedicle flaps and skin traction, and all fractures united with an average 5.6 (3–15.4) months. In 28 patients the results were excellent and good, in one fair and in one poor. Despite numerous complications the use of Ilizarov external fixator provides initial and definitive fracture stability.
Résumé
Entre décembre 1993 et 1999 nous avons traité 34 fractures diaphysaires tibiales ouvertes. Trente malades étaient disponibles pour l'évaluation avec un suivi moyen après consolidation de 40.5 (24–80) mois. L'âge moyen des malades était 33.1 (15–71) années. Deux fractures étaient de grade 1, 16 de grade II, 6 de grads IIIA, 5 de grade IIIB et 1 de grade IIIC. La blessure était débridée et l'os fixé avec l'appareil d'Ilizarov. La cicatrisation des parties molles a été obtenue avec des plasties en Z, des fermetures différées, des greffes de peau, des lambeaux pédiculés et des tractions cutanées. Toutes les fractures ont consolidé avec un délai moyen de 5.6 (3–15.4) mois. Pour 28 malades les résultats étaient excellents et bons, un était juste, et un mauvais. En dépit de nombreuses complications l'usage du fixateur externe d'Ilizarov fournit une stabilité initiale et définitive de la fracture.
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Hosny, G., Fadel, M. Ilizarov external fixator for open fractures of the tibial shaft. International Orthopaedics (SICOT) 27, 303–306 (2003). https://doi.org/10.1007/s00264-003-0476-3
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DOI: https://doi.org/10.1007/s00264-003-0476-3