TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?

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TABATABAEI SAEID; HOSSEINI E.

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Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS) Year:2008 | Volume:33 | Issue:1 Page(s): 7-11

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Title

TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?

Author(s)

TABATABAEI SAEID | HOSSEINI E. | Issue Writer Certificate

Keywords

EXTERNAL FIXATION

CONVERSION

UNION

Abstract

Background: The treatment of open tibial fractures is still an orthopaedic challenge and full of complications. In many cases the use of external fixator that has been known as a nonunion machine is obligatory with a high incidence of pin track infection and other complications. The aim of this study was to compare the use of EXTERNAL FIXATION as a definite method for treatment of open tibial fractures with its subsequent CONVERSION to internal fixation or casting. Methods: Sixty-seven young patients with type III open tibial fractures (Gustilo-Anderson classification) were treated with half pin EXTERNAL FIXATION. Twenty of them were converted into internal fixation after a period of 6-8 weeks. For another twenty-five, external fixator was removed and treatment continued with casting for a period lasting from 16 to 20 weeks. And for twenty two patients the fixator continued until complete UNION. The patients followed up for 10-16 months and were evaluated in terms of UNION time, UNION rate, infection, range of motion, malunion, non-union, nerve injury, and reduction. Results: There was a meaningful difference only in the UNION time and superficial infection between the first group and the other two groups. Conclusion: The CONVERSION of external to internal fixation can be considered as a safe, effective, less complicated, and more acceptable method for the treatment of open tibial fractures.

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APA: Copy

TABATABAEI, SAEID, & HOSSEINI, E.. (2008). TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?. IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS), 33(1), 7-11. SID. https://sid.ir/paper/276162/en

Vancouver: Copy

TABATABAEI SAEID, HOSSEINI E.. TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?. IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS)[Internet]. 2008;33(1):7-11. Available from: https://sid.ir/paper/276162/en

IEEE: Copy

SAEID TABATABAEI, and E. HOSSEINI, “TREATMENT OF OPEN TIBIAL FRACTURES: CONVERTING OR CONTINUING EXTERNAL FIXATION?,” IRANIAN JOURNAL OF MEDICAL SCIENCES (IJMS), vol. 33, no. 1, pp. 7–11, 2008, [Online]. Available: https://sid.ir/paper/276162/en

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