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Journals / Gülhane Tıp Dergisi / 2005 / Cilt: 47 - Sayı: 2

Treatment of distal femoral intraarticular open fractures using ilizarov external fixation

Femur distal bölge eklem içi açık kırıklarının ilizarov sirkürel eksternal fiksatörü ile tedavisi

A. Sabri ATEŞALP
Mahmut KÖMÜRCÜ
Bahtiyar DEMİRALP
Mustafa KÜRKLÜ
Ersin TAŞATAN
Pages
89–93
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Circular external fixator protects the fracture hematoma and periosteal supply, results in minimal blood loss during operation, shortens the period of operation, enables early knee movement and weight bearing by providing sufficient stabilization, and thus, is a method of choice in the treatment of distal femur intraarticular open fractures.

📌 3 Key Takeaways

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Objective & Hypothesis:Distal femur intraarticular open fractures are among the most diffucult ones to treat for orthopedists.
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Key Findings & Data:Thirty-four patients with distal femur intraarticular open fractures were treated by circular external fixator at the Department of Orthopedics and Traumatology of Gülhane Military Medical Academy between January 1996 and December 2000.
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Conclusion & Impact:Circular external fixator protects the fracture hematoma and periosteal supply, results in minimal blood loss during operation, shortens the period of operation, enables early knee movement and weight bearing by providing sufficient stabilization, and thus, is a method of choice in the treatment of distal femur intraarticular open fractures.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Femur kırıkları · Kırık tespiti · Kırıklar

Abstract

Distal femur intraarticular open fractures are among the most diffucult ones to treat for orthopedists. Thirty-four patients with distal femur intraarticular open fractures were treated by circular external fixator at the Department of Orthopedics and Traumatology of Gülhane Military Medical Academy between January 1996 and December 2000. According to the classification of Gustillo-Anderson, 10 patients (29.4%) were Type II, 14 (41.U) were Type IIIA, eight (23.6%) were Type IIIB, and two (5.9%) were Type IIIC. Our average follow up period was 49.4 (29-72) months. External fixators were removed after an average of 19.9 (15-33) weeks following radiological callus formation. Union was achieved in all cases. Circular external fixator protects the fracture hematoma and periosteal supply, results in minimal blood loss during operation, shortens the period of operation, enables early knee movement and weight bearing by providing sufficient stabilization, and thus, is a method of choice in the treatment of distal femur intraarticular open fractures.

Özet

Femur distali eklem içi açık kırıklarının tedavisi, ortopedistler için tedavisi zor olan kırık tiplerindendir. Ocak 1996 ile Aralık 2000 tarihleri arasında Gülhane Askeri Tıp Akademisi Ortopedi ve Travmatoloji Anabilim Dalı Kliniğinde, femur distali eklem içi açık kırığı olan 34 hasta sirküler eksternal fiksatör ile tedavi edildi. Gustilo-Anderson sınıflamasına göre; 10 hasta (%29.4) Tip II, 14 hasta (5641.1) Tip IHA, sekiz hasta (%23.6) Tip IIIB ve iki hasta (%5.9) Tip IIIC idi. Olguları ortalama takip süremiz, 49.4 (29-72) ay idi. Radyolojik olarak gözle görütür kallus oluşumunun ardından, eksternal fiksatörter, ortalama 19.9 (15-33) haftada çıkarıldı. Tüm hastalarda kaynama elde edildi. Femur distali eklem içi açık kırıkların tedavisinde; sirküler eksternal fiksatör sistemi, kırık hematomunun ve periosteal yapının korunması, operasyon esnasında minimal kan kaybına neden olması, operasyon süresinin kısalığı, erken diz hareketinin verilebilmesi ve rijid stabilizasyon nedeni ile ekstremiteye yük verilebilmesine olanak tanımasından dolayı, tercih edilebilecek bir yöntemdir.

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Cite This Article

ATEŞALP, A. S., KÖMÜRCÜ, M., DEMİRALP, B., KÜRKLÜ, M., TAŞATAN, E. (2005). Treatment of distal femoral intraarticular open fractures using ilizarov external fixation. Gülhane Tıp Dergisi, Cilt: 47 - Sayı: 2, 89–93. https://ajindex.com/articles/225680

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References (15)

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  14. Michael WC, Christopher GF. Treatment of supracondylar nonunions of the femur with plate fixation and bone graft. J Bone Joint Surg 1999; 81-A: 1217-1228
  15. Schatzker J, Home G, Waddell J. The 1. Arazi M, Memik R, Ogün TC, Yel M. Ili