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KMID : 0377220000250010110
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Medical Journal of Chosun Univercity
2000 Volume.25 No. 1 p.110 ~ p.117
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Treatment of Comminuted Open Fracture of Distal Tibia with External Fixator
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Lee Byoung-Ho
Ha Sang-Ho
Kim Kyung-Ho
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Abstract
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Background and Objectives : To assess the clinical results of the open comminuted distal tibia fractures managed with two types of external fixators.
Materials and Method : Thirty-nine patients, who were treated with Ilizarov (n=23) or Orthofix (n=16), were classified according to the AO classification: 8 B2; 9 B3; 5 C2; 10 C3. The average follow-up periods were 22 months. The clinical results were compared between the two types of external fixators based on the fracture pattern, severity of soft tissue injury, union rate, and complications.
Results : The bony union rates were 65.2%(15/23) in Ilizarov external fixator group without secondary procedure, 25%(4/16) in Orthofix group without secondary procedure, and 87.5%(7/8) in Ilizarov group with secondary procedure, and 83.3%(10/12) in Orthofix group with secondary procedure. The incidence of complications was 52.2%(12/23) in Ilizarov group and 56.3%(9/16) in Orthofix group.
Conclusion : Ilizarov external fixator is considered as a more useful method for treating the open comminuted distal tibia fractures of the adult compared with Orthofix external fixator. However, careful intraoperative management needs to avoid angular instability which can occur in Ilizarov method.
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KEYWORD
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Distal tibia, Open fracture, External fixator
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