Title: Reosteosynthesis of the tibial shaft. Part I. Changement of procedure after external fixation
Authors: Rommens, P M ×
Van Raemdonck, Dirk
Broos, Paul #
Issue Date: 1989
Series Title: Acta Chirurgica Belgica vol:89 issue:5 pages:281-286
Abstract: A series of 38 patients with 38 fractures of the tibial shaft, primarily treated with an external fixator, is presented. In all of them, a second osteosynthesis is performed. More than 80% of these fractures were open and more than 80% were of the type B or C of the AO-classification. A pseudarthrosis was responsible for the reosteosynthesis in 24 fractures and a deep infection in 10. The day before the second intervention averaged 8.4 months. In 22 patients a plate osteosynthesis, in 11 an intramedullary nailing and in 4 a second external fixation was carried out. In one patient a transposition of a free osteomyocutaneous flap was performed. The functional end results were excellent or good in 75% of the patients. In fractures with a high risk of bone healing problems, a changing of procedure should be planned from the beginning of the treatment. The second procedure significantly shortens the time of fracture healing. The most appropriate stabilization should be performed secondarily, depending on the fracture form and the situation of the soft tissues of the lower leg.
ISSN: 0001-5458
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Traumatology Section (-)
Thoracic Surgery
× corresponding author
# (joint) last author

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