Korat Dynamic External Fixator as Primary and Definitive Treatment of open Tibial Fracture
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Abstract
Introduction: Treatment of open tibial fracture with extermal fixator has been accepted as one of the standard treatment. The static type conventional external fixator resulied delayed union and non-union problems. The researcher invented Korat Dynamic External Fixator to solve these problems. Objective: To investigate the treatment resulte and complications of Korat Dynamic External Fixator. Patients and methods: 10 patients who had open tibial fracture and admitted in Maharat Nakhon Ratchasima Hospital between April 2003 to March 2004. All patients had the operation with Korat Dynamic External Fixator. Results: 10 patients were between 19-39 years old (mean 39.25 ± 7.1). There were 4 case of open tibial fracture grade II and 6 cases if open tibial fracture grade IIIA. The union times were between 10.4-16 weeks (mean 13.6 ± 1.7 weeks), 10.4-12.7 weeks (mean 12 ± 1.1 weeks) in open tibial fracture grade II and 13.9-16 weeks (mean 14.8 ± 0.7 weeks) in open tibial fracture grade IIIA. There was one case of pintract infection, no wound infection and 2 cases needed iliac bone graft because of cortical bone loss more than 30%. Conclusion: The Korat Dynamic External Fixator showed good result as compare to international literature but significantly low cost. The Korat Dynamic External Fixator is one of the primary and definitive treatments for open tibial fracture.
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References
Olson SA. Open fractures of the tibial shaft. Current treatment. Instructional course lecture. The American Academy of Orthopaedic Surgeons. Bone Joint Surg 1996; 78: 1428-37.
Barguet A, Massaferro J, Dubra A, Milans Castiglioni O. The dynamic ASIF-BM tubular external fixator in the treatment of open fracture of the shaft of the tibia. Injury 1992; 23: 461-6.
Foxworthy M, Pringle RM. Dynamization timing and its effect on bone healing when using the Orthofix Dynamic Axial Fixator. Injury 1995; 26: 117-9.
Gustilo RB, Mendoza RM, Willium DN. Problems in the management of type III (severe) open fractures:a new classification of type Ill open fracture. J Trauma 1984; 24:742-6.
Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. Bone Joint Surg 1976; 58: 453-8.
Anderson LD,Hutchins WC, Wright PE, Disney JM. Fracture of the tibia and fibula treated by casts and transfixing pins. Clin Orthop 1974; 105: 179-97.
Sarmiento A, Gersten LM, Sobol PA, Shankwiler JA, Vangsness CT. Tibial shaft fractures treated with functional braces: Experience with 780 fractures. Bone Joint Surg 1989; 71: 602-9.
Ruedi T, Webb JK, Allgower M. Experience with the dynamic compression plate (DCP) in 418 recent fractures of the tibial shaft. Injury 1976; 7: 252-7.
Bach AW, Hansen ST, Jr. Plate versus external fixator in severe open tibial shaft fractures, A randomized trial. Clin orthop 1989; 241: 89-94.
Hessmann M, Mattens M, Rumbant J. Use of the unilateral external fixator (monofixator) in fracture treatment: experience in 50 fractures. Unfallchirurg 1994; 97: 511-7. [abstract]
Checketts RG, Moran CG, Jennings AG. 134 Tibial shaft fractures managed with the dynamic axial fixator. Acta Orthop Scand 1995; 66: 271-4.
Marsh JL, Nepola JV, Wuest TK, Osteen D, Cox K, Oppenheim W. Unilateral external fixator until healing with the dynamic axial fixator for severe open tibial fractures. J Orthop Trauma 1991; 5: 341-8.
Rommeus PM, Broos PL. The significance of soft tissue trauma for fracture healing, A prospective study on 70 tibial shaft fractures following primary treatment with the monofixater. Unfallchirurg 1992; 95:133-41 [abstract]
Melendez EM, Colon C. Treatment of open tibial fracture with the Orthofix fixator. Clin Orthop 1989; 241:224-30.
Keating JF, Gander E, Leach WJ, Macpherson S, Abrami G. Management of tibial fractures with the Orthofix dynamic external fixator. J Royal Coll Surg Edinb1991; 36: 272-7.
Henley MB, Chapman JR, Agel J, Swiontkowski MF, Benirschke SK, Mayo KA. Comparison of unreamed tibial nails and external fixators in the treatment of gr.II and III open tibial shaft fractures. Orthop Trans 1995; 19: 438-9.