Contributing Factors for Nonunion in Open Tibial Fractures Treated with External Fixation.
- Author:
Chang Wug OH
;
Hee Soo KYUNG
;
Byung Chul PARK
;
Shin Youn KIM
;
Gun Wook PARK
- Publication Type:Original Article
- Keywords:
Tibia;
Open fracture;
External fixation;
Nonunion
- MeSH:
Diaphyses;
External Fixators;
Fibula;
Fractures, Open;
Humans;
Multiple Trauma;
Tibia;
Tibial Fractures*
- From:The Journal of the Korean Orthopaedic Association
1998;33(7):1822-1826
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We analyzed the factors of importance for nonunion in series of 91 open fractures of tibial diaphysis which were treated with external fixation. Factors analyzed included, age and sex of the patients, the mechanism of injury, the amount of soft tissue damage, the grade of comminution, the level at which the tibia was fractured, the presence of an intact fibula, the presence of the multiple injuries, the type of the external fixation used(AO external fixator, EXTOR; monotube external fixator, Ilizarov), and the need to supplement the stability of the reduction. We found that the amount of soft tissue damage and comminution of the fracture played a role in the development of the nonunion.
