A Clinical Study on the Treatment of Open Fractures of Tibial Shaft: Using AO External Fixator with Additional Interfragmental Lag Screw Fixation
10.4055/jkoa.1988.23.1.79
- Author:
Hyoun Oh CHO
;
Dae Suk SUH
;
Kyung Duk KWAK
;
Sung Do CHO
;
Jae Hoon KIM
- Publication Type:Original Article
- Keywords:
Tibia;
Open fracture;
External fixation
- MeSH:
Clinical Study;
External Fixators;
Fractures, Open;
Joints;
Soft Tissue Injuries;
Tibia;
Wounds and Injuries
- From:The Journal of the Korean Orthopaedic Association
1988;23(1):79-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fourty one cases of open fractures of tibial shaft complicated with varying degrees of soft tissue injuries were trested by one-plane unilateral external fixation with AO fixator. In seventeen csses among them, interfragmental lag screw fixation was applied in addition, for more rigidity and stability of the fixation. All of thern were followed up at least for one year and we obtained the following results. 1. Rigid stable external fixation provided by additional minimum internal fixation may not increase the rate of infection but rather enhance prompt primary bone healing. 2. One-plane unilatersl external fixation may facilitate good access to the wound for subsepuent reconstructive procedures, and enhance pain-free early full range of joint motion, thus promote early bone union. 3. Comparing with bilsteral fixation, there wss almost no difference in the union time of the fracture even with one-plsne unilatersl fixation.
