Treatment of type 3 open tibial fractures with dynamic axial fixator

Volume: 32 Number: 3 September 11, 2006
  • Muhittin Sener
  • Hafiz Aydin
  • Adem Erkut
  • Osman Aynaci
  • Ahmet Turhan
TR EN

Treatment of type 3 open tibial fractures with dynamic axial fixator

Abstract

The treatment of type 3 open tibial fractures of tibia is difficult with severe complications. In this study, we treated 20 type 3 open tibial fractures of 18 patients with dynamic axial external fixator. Fifteen patients were male and 3 were female. The mean age was 32.7 (range 16 to 60). According to Gustilo; 10 cases were type 3A, 7 cases were type 3B and 3 cases were type 3C. The follow-up period was ranging from 18 months to 10.5 years (mean was 38 months). Ten patients were re-operated for complications after primary procedures. In one case amputation was required. In four cases, stability could not be achived with fixator and additional percutaneous pinning were performed. Nonunion was observed in 3 patients (%15), osteomyelitis in 4 cases (%20). In 5 cases, multiple secondary soft tissue procedures were done. At the latest control, excellent results were obtained in 13 cases (%65), good results in 3 cases (%15), moderate in 2 cases (%10) and poor in 2 cases (%10) We think that dynamic axial external fixator is safe in the treatment of open tibial fractures and optimum soft tissue management and early motion can be achieved with this method. We also concluded that, good results can be achieved more than expectations in the treatment of these severe injuries with additional reconstructive procedures.

Keywords

Details

Primary Language

English

Subjects

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Journal Section

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Authors

Muhittin Sener This is me

Hafiz Aydin This is me

Adem Erkut This is me

Osman Aynaci This is me

Ahmet Turhan This is me

Publication Date

September 11, 2006

Submission Date

March 6, 2014

Acceptance Date

-

Published in Issue

Year 1998 Volume: 32 Number: 3

APA
Sener, M., Aydin, H., Erkut, A., Aynaci, O., & Turhan, A. (2006). Treatment of type 3 open tibial fractures with dynamic axial fixator. Acta Orthopaedica et Traumatologica Turcica, 32(3), 202-207. https://doi.org/10.3944/aott.v32i3.2261
AMA
1.Sener M, Aydin H, Erkut A, Aynaci O, Turhan A. Treatment of type 3 open tibial fractures with dynamic axial fixator. Acta Orthopaedica et Traumatologica Turcica. 2006;32(3):202-207. doi:10.3944/aott.v32i3.2261
Chicago
Sener, Muhittin, Hafiz Aydin, Adem Erkut, Osman Aynaci, and Ahmet Turhan. 2006. “Treatment of Type 3 Open Tibial Fractures With Dynamic Axial Fixator”. Acta Orthopaedica et Traumatologica Turcica 32 (3): 202-7. https://doi.org/10.3944/aott.v32i3.2261.
EndNote
Sener M, Aydin H, Erkut A, Aynaci O, Turhan A (September 1, 2006) Treatment of type 3 open tibial fractures with dynamic axial fixator. Acta Orthopaedica et Traumatologica Turcica 32 3 202–207.
IEEE
[1]M. Sener, H. Aydin, A. Erkut, O. Aynaci, and A. Turhan, “Treatment of type 3 open tibial fractures with dynamic axial fixator”, Acta Orthopaedica et Traumatologica Turcica, vol. 32, no. 3, pp. 202–207, Sept. 2006, doi: 10.3944/aott.v32i3.2261.
ISNAD
Sener, Muhittin - Aydin, Hafiz - Erkut, Adem - Aynaci, Osman - Turhan, Ahmet. “Treatment of Type 3 Open Tibial Fractures With Dynamic Axial Fixator”. Acta Orthopaedica et Traumatologica Turcica 32/3 (September 1, 2006): 202-207. https://doi.org/10.3944/aott.v32i3.2261.
JAMA
1.Sener M, Aydin H, Erkut A, Aynaci O, Turhan A. Treatment of type 3 open tibial fractures with dynamic axial fixator. Acta Orthopaedica et Traumatologica Turcica. 2006;32:202–207.
MLA
Sener, Muhittin, et al. “Treatment of Type 3 Open Tibial Fractures With Dynamic Axial Fixator”. Acta Orthopaedica et Traumatologica Turcica, vol. 32, no. 3, Sept. 2006, pp. 202-7, doi:10.3944/aott.v32i3.2261.
Vancouver
1.Muhittin Sener, Hafiz Aydin, Adem Erkut, Osman Aynaci, Ahmet Turhan. Treatment of type 3 open tibial fractures with dynamic axial fixator. Acta Orthopaedica et Traumatologica Turcica. 2006 Sep. 1;32(3):202-7. doi:10.3944/aott.v32i3.2261