Locally developed external fixators as definitive treatment of open tibia diaphyseal fractures: a clinical prospective study conducted in Ivory Coast
| العنوان: | Locally developed external fixators as definitive treatment of open tibia diaphyseal fractures: a clinical prospective study conducted in Ivory Coast |
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| المؤلفون: | Michel Kodo, Christine Detrembleur, Olivier Cornu, Kouamé Jean-Eric Kouassi, Loïc Fonkoue, Jean Regis Akobe, Adélaide Aya Kouassi |
| المساهمون: | UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur |
| المصدر: | International orthopaedics, Vol. 46, no.1, p. 79-87 (2022) |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, External fixator, External Fixators, Emerging country, Bone healing, Development, Fractures, Open, Fracture Fixation, medicine, Humans, Orthopedics and Sports Medicine, Prospective Studies, Tibia, Prospective cohort study, Fracture Healing, Open diaphyseal tibia fracture, business.industry, Definitive treatment, Predictive factor, Surgery, Tibial Fractures, Chronic infection, Cote d'Ivoire, Treatment Outcome, Chronic osteomyelitis, Orthopedic surgery, business |
| الوصف: | BACKGROUND: This study sought to evaluate the effectiveness of locally developed external fixators (LDEF) as definitive treatment for open tibia diaphyseal fractures (OTDF) in Ivory Coast. METHODS: Gustilo I, II, and IIIA OTDFs of patients admitted within 24 hours of injury were prospectively included and treated with LDEF. The rates of union, mal-union, septic complications, as well as the functional results were assessed, in addition to the LDEF construct's integrity. Predictive factors of failure or poor results were assessed. RESULTS: Overall, 40 OTDF patients were admitted within 24 hours of injury. Gustilo I, II, and IIIA fractures were observed in three, 13, and 24 patients, respectively. Uneventful fracture healing was obtained in 29 cases, with an average union time of 8.47 months. Mal-union and non-union were registered in three and four cases, respectively. Pin-track infection (PTI) was observed in 13 cases and deep infection in seven. Infection resolved in all patients except four, who developed chronic osteomyelitis. None of the non-unions were associated with an infection. The overall functional result was satisfactory in 32 patients. PTI was the only predictive factor for chronic infection. Biplanar frames, when compared to monoplanar constructs, were associated with a significantly improved functional outcome. CONCLUSION: LDEF improved significantly the OTDF management, as it provided better stability and superior fracture healing rates than what is observed with the standard of care in the same environment. PTI remains an essential problem but with, hopefully, limited negative consequences. |
| تدمد: | 1432-5195 0341-2695 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dee4b75efbd89b4de357869e71b8f50Test https://doi.org/10.1007/s00264-021-05073-7Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8dee4b75efbd89b4de357869e71b8f50 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14325195 03412695 |
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