多平面外固定治疗复杂胫骨远端骨折-单中心经验。

IF 1.4 Q3 EMERGENCY MEDICINE
International Journal of Burns and Trauma Pub Date : 2022-06-15 eCollection Date: 2022-01-01
Yiu Hin Kwan, Joshua Decruz, Antony Xr Premchand, Suheal A Khan
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引用次数: 0

摘要

多平面外固定用于治疗复杂的胫骨远端骨折。本研究旨在描述我们使用Ilizarov, Taylor空间框架和True-Lok Hex外固定方法治疗胫骨远端骨折的经验。方法:我们回顾性分析了3年来所有采用多平面外固定治疗的胫骨远端骨折的临床和影像学记录。共纳入13例,以高能损伤为主。结果:患者平均年龄44岁。11例(85%)为道路交通事故所致高能外伤。8例(62%)涉及对先前固定方法的修改。多数病例(77%)为AO分类3型,多数病例(62%)为开放性骨折。外固定架内固定时间平均为5个月,放射愈合时间平均为6个月。愈合时冠状面和矢状面平均排列偏差分别为1.3度和0.5度。所有涉及关节线的骨折均得到充分修复。2例(16%)骨不愈合,2例(15%)针部感染。1例需要皮质切开术并随后延长。结论:多平面圆形外固定架是治疗复杂胫骨远端骨折的可靠方法,无论是在急性情况下还是作为翻修手术。骨折愈合率高,不对准最小。虽然针部感染比较常见,但它们并不复杂,容易治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Complex distal tibia fractures treated with multi-planar external fixation - a single center experience.

Complex distal tibia fractures treated with multi-planar external fixation - a single center experience.

Complex distal tibia fractures treated with multi-planar external fixation - a single center experience.

Introduction: Multi-planar external fixation is used for the management of complex distal tibia fractures. This study aims to describe our experience of treating distal tibia fractures using the Ilizarov, Taylor Spatial Frame and True-Lok Hex external fixation methods.

Methodology: We conducted a retrospective analysis of clinical and radiological records of all distal tibia fractures that were managed with multi-planar external fixation over a period of 3 years. A total of 13 cases were included, of which most were high-energy injuries.

Results: The average age of the patients was 44 years old. 11 (85%) cases were high-energy trauma due to road traffic accidents. 8 (62%) cases involved the revision of a previous fixation method. Most (77%) cases were AO classification Type 3, and the majority (62%) of cases were open fractures. The average duration in the external fixator frame and time to radiological union was 5 months and 6 months respectively. The average malalignment at union was 1.3 degrees and 0.5 degrees in the coronal plane and sagittal plane respectively. All fractures involving the joint line were adequately restored. There were 2 (16%) case of non-union and 2 (15%) cases of pin site infections. 1 case required a corticotomy and subsequent lengthening.

Conclusion: Multi-planar circular external fixation is a reliable method to treat complex distal tibia fractures, both in the acute setting and as revision surgery. The rates of fracture union is high, with minimal malalignment. Although pin site infections are relatively common, they are uncomplicated and easily treated.

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