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Treatment of tibial fractures due to gunshot injury with external fixator

Year 1997, Volume: 31 Issue: 2, 114 - 120, 11.09.2006

Abstract

One-hundred nineteen patients with tibial fractures due to gunshot injury were treated with Ilizarov and Girgin external fixators. There were 19 type-I, 52 type-II, 48 type-III open fractures. The mean follow-up time was 15.7 (8.5-44) months. Fractures treated with Ilizarov and Girgin external fixators healed on an average of 5.2 (2.5-28) and 5.96 (3.5-14), respectively. Most of the complications occurred at the fractures treated with Girgin external fixator. There were eleven malunion (9.2%), seven non union (5.8%), eight infection (6.72%), forty-one pin-track infection, fourteen delayed union (17.76%). In cases with open tibial fractures due to gunshot injury, external fixator are advantages in view of infection, when compared with other stabilizer materials, particularly with intramedullary nailing. However, it is also disadvantages fixation material for complication such as pin-track infection and malunion.

Ateşli silah yaralanması sonucu meydana gelen tibia fraktürlerinin eksternal fiksatörle tedavisi

Year 1997, Volume: 31 Issue: 2, 114 - 120, 11.09.2006

Abstract

Ateşli silah yaralanması sonucu meydana gelen 119 tibia fraktürü eksternal fiksatörle tedavi edildi. Bu kırık-ların 19'u Tip-l, 52'si Tip-ll, 48'i Tip-lll'dü. Eksternal fiksatör olarak Girgin ve İlizarov tipi fiksatör kullanıldı. Hastalar ortalama 15.7 (8.7-44) ay takip edildi. Kırığın ortalama iyileşme zamanı. Girgin tipinde 5.96 (3.5-14), İlizarov tipinde ise 5.2 (2.5-28) ay olarak gerçekleşti. Komplikasyonlar daha çok Girgin eksternal fiksatörle te-davi edilen hastalarda görüldü. Toplam vakalarda kötü kaynama 11 (%9.2), Kaynamama 7 (%5.8), derin yara enfeksiyonu 8 (%6.72), çivi yolu enfeksiyonu 41 (%6.7) telde, ve kaynama gecikmesi 14 (%11.76) vakada mey-dana geldi. Ateşli silah yaralanması sonucu oluşmuş tibia kırıklarında, uygulanan stabilizan materyaller içerisinde eksternal fiksatörler özellikle intramedüller çivilerle karşılaştırıldığı zaman, enfeksiyon yönünden avantajlıdır. Malünion ve tel dibi enfeksiyonu gibi komplikasyonlar yönünden ise daha dezavantajlı bir fiksasyon materyalidir.

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Details

Primary Language English
Journal Section Original Article
Authors

Ahmet Kapukaya This is me

Yusuf Yildirim This is me

Huseyin Arslan This is me

Serdar Necmioglu This is me

Cumhur Kesemenli This is me

Engin Kandiya This is me

Publication Date September 11, 2006
Published in Issue Year 1997 Volume: 31 Issue: 2

Cite

APA Kapukaya, A., Yildirim, Y., Arslan, H., Necmioglu, S., et al. (2006). Treatment of tibial fractures due to gunshot injury with external fixator. Acta Orthopaedica Et Traumatologica Turcica, 31(2), 114-120. https://doi.org/10.3944/aott.v31i2.2112
AMA Kapukaya A, Yildirim Y, Arslan H, Necmioglu S, Kesemenli C, Kandiya E. Treatment of tibial fractures due to gunshot injury with external fixator. Acta Orthopaedica et Traumatologica Turcica. September 2006;31(2):114-120. doi:10.3944/aott.v31i2.2112
Chicago Kapukaya, Ahmet, Yusuf Yildirim, Huseyin Arslan, Serdar Necmioglu, Cumhur Kesemenli, and Engin Kandiya. “Treatment of Tibial Fractures Due to Gunshot Injury With External Fixator”. Acta Orthopaedica Et Traumatologica Turcica 31, no. 2 (September 2006): 114-20. https://doi.org/10.3944/aott.v31i2.2112.
EndNote Kapukaya A, Yildirim Y, Arslan H, Necmioglu S, Kesemenli C, Kandiya E (September 1, 2006) Treatment of tibial fractures due to gunshot injury with external fixator. Acta Orthopaedica et Traumatologica Turcica 31 2 114–120.
IEEE A. Kapukaya, Y. Yildirim, H. Arslan, S. Necmioglu, C. Kesemenli, and E. Kandiya, “Treatment of tibial fractures due to gunshot injury with external fixator”, Acta Orthopaedica et Traumatologica Turcica, vol. 31, no. 2, pp. 114–120, 2006, doi: 10.3944/aott.v31i2.2112.
ISNAD Kapukaya, Ahmet et al. “Treatment of Tibial Fractures Due to Gunshot Injury With External Fixator”. Acta Orthopaedica et Traumatologica Turcica 31/2 (September 2006), 114-120. https://doi.org/10.3944/aott.v31i2.2112.
JAMA Kapukaya A, Yildirim Y, Arslan H, Necmioglu S, Kesemenli C, Kandiya E. Treatment of tibial fractures due to gunshot injury with external fixator. Acta Orthopaedica et Traumatologica Turcica. 2006;31:114–120.
MLA Kapukaya, Ahmet et al. “Treatment of Tibial Fractures Due to Gunshot Injury With External Fixator”. Acta Orthopaedica Et Traumatologica Turcica, vol. 31, no. 2, 2006, pp. 114-20, doi:10.3944/aott.v31i2.2112.
Vancouver Kapukaya A, Yildirim Y, Arslan H, Necmioglu S, Kesemenli C, Kandiya E. Treatment of tibial fractures due to gunshot injury with external fixator. Acta Orthopaedica et Traumatologica Turcica. 2006;31(2):114-20.