Ortho-Bridger System for complex tibial fractures
10.3760/cma.j.cn115530-20190929-00339
- VernacularTitle:桥接组合式固定系统治疗复杂胫骨骨折
- Author:
Xin WANG
1
;
Hui WANG
;
Shanzhi XUAN
;
Chao YU
;
Mingkai ZHANG
Author Information
1. 安徽省铜陵市人民医院骨科中心 244000
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(8):726-729
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of Ortho-Bridger System (OBS) for the treatment of complex tibial fractures.Methods:A retrospective study was conducted of the 64 patients with complex tibial fracture who had been treated at Department of Orthopaedics, Tongling People's Hospital from June 2014 to June 2018 using OBS. They were 46 males and 18 females, aged from 22 to 65 years (average, 44.3 years). There were 38 close comminuted or multi-segmental fractures complicated with skin and soft tissue defects and 26 cases of tibial exposure. The interval from injury to surgery ranged from 3 to 20 days (average, 13.6 days). The therapeutic outcomes were evaluated in terms of fracture union time, healing of skin and soft tissue defects and postoperative functional recovery.Results:The 64 patients were followed up for 12 to 50 months (average, 26.3 months). Obvious callus formation started at 3 to 8 months after operation and bony union was achieved at 9 to 18 months after operation. No obvious limitation was observed in the range of motion of the ankle and knee joints. Skin defects healed and completely covered the bone at 3 to 6 weeks after operation.Conclusion:OBS can lead to fine clinical efficacy in the treatment of complex tibial fractures, like open and comminuted multi-segmental ones complicated with soft tissue defects.