Treatment of open comminuted fracture of the cruris and infectious nonunion by ablating focuses and prolonging bones

Authors

  • Jong-Hyon O Pyongyang Medical College, Kim Il Sung University
  • Yong-Hui Ri Pyongyang Medical College, Kim Il Sung University
  • Gi-Hyon Ryang Pyongyang Medical College, Kim Il Sung University
  • Chol-Hyok Paek Pyongyang Medical College, Kim Il Sung University

Abstract

Abstract

The crural fracture occupies widely accompanying by trauma and if the bone should be occupied traumatic osteomyelitis, the treatment is very difficult. In general, because inflammatory disappear and the wound closed, when the therapy of facture take place, so the day of treatment is delaying and occupying ununion of bone by secondary infection. The objective of this study was to evaluate the method of ablating focuses and prolonging bones in open comminuted fracture of the cruris and infectious nonunion patients using external fixator. Most of patients admitted to the University Hospital were 20~30 years old, males and period of progress of post trauma and region of injury were different. We performed the operation of 21 patients and this study shows that results are the better. We could shorten the period of treatment and provent complication and sequela by using invented and produced external fixator because of performing focus ablating and prolonging operation simultaneously.

 

Keywords: Ablating focuses, External fixator, Nonunion, Open comminuted fracture of cruris, Prolonging bone

Cite this Article

O Jong-Hyon, Ri Yong-Hui, Ryang Gi-Hyon, Paek Chol-Hyok. Treatment of Open Comminuted Fracture of the Cruris and Infectious Nonunion by Ablating Focuses and Prolonging Bones. Research & Reviews: Journal of Surgery. 2020; 9(1): 21–24p.

References

Atesalp AS, Yildiz C, Basboskurt M et al (2002) Treatment of type IIIA open fractures with Ilizarov fixation and delayed primary closure in high-velocity gunshot wounds. Mil Med 167:56–62

Busic Z, Lovric Z, Amic E et al (2006) War injuries of the extremities: twelve-year follow-up data. Mil Med 171:55–57

Charles M. Court-Brown, MD et al. Principles of External Fixation. Rockwood and Green’s Fractures in Adults Vol.1. Wolters Kluwer Health, 232-234, 2015

Courtney M, et al. Sabiston Textbook of Surgery 19th. Elsevier Saunders. 483~485. 2012.

Dendrinos GK, Kontos S, Katsenis D et al (1996) Treatment of high-energy tibial plateau fractures by the Ilizarov circular fixator. J Bone Joint Surg 78B:710–717

Ebraheim NA, et al. The Treatment of Tibial Nonunion with Angular Deformity Using An Ilizarov Device. J Trauma. 38:111. 1995.

Egol KA, Tejwani NC, Capla EL et al (2005) Staged management of high-energy proximal tibia fractures (OTA types 41) The results of the prospective standardized protocol. J Orthop Trauma 19:448–455

Inan M, et al. Residual Deformities Following Successful Initial Bone Union in Congenital Pseudoarthrosis of The Tibia. J Pediatr Orthop. 26: 393. 2006.

Liebergall M, Segal D, Peyser A et al (1999) Combined injuries to the lower limbs. Injury 30:29–33

Lonner JH, et al. Posttraumatic Nonunion of The Distal Tibial Metaphysis: Treatment Using The Ilizarov Circular External Fixator. Am J Orthop. 16, 1995.

Marsh DR, et al. The Ilizarov Method in Nonunion, Malunion, and Infection of Fractures. J Bone Joint Surg. 79B: 273. 1997.

Paley D. Treatment of Tibial Nonunion and Bone Loss with The Ilizarov technique. Instr Course Lect. 39: 185. 1990.

Terry Canale S, et al. Campbell's Operative Orthopaedics 12th. Elsevier Mosby. 2997~3001. 2013.

Tscherne H, Regel G (1996) Care of the polytraumatised patient. J Bone Joint Surg Br 78(5):840–852

Zinman C, Norman D, Hamoud K, Reis ND (1997) External fixation for severe open fractures of the humerus caused by missiles. J Orthop Trauma 11(7):536–539

Downloads

Additional Files

Published

2020-09-14

Issue

Vol. 9 No. 2 (2020)

Section

Research Article

License

Declaration and Copyright Transfer Form

(to be completed by authors)

I/ We, the undersigned author(s) of the submitted manuscript, hereby declare, that the above manuscript which is submitted for publication in the STM Journals(s), is not published already in part or whole (except in the form of abstract) in any journal or magazine for private or public circulation, and, is not under consideration of publication elsewhere.

  • I/We will not withdraw the manuscript after 1 week of submission as I have read the Author Guidelines and will adhere to the guidelines.
  • I/We Author(s ) have neither given nor will give this manuscript elsewhere for publishing after submitting in STM Journal(s).
  • I/ We have read the original version of the manuscript and am/ are responsible for the thought contents embodied in it. The work dealt in the manuscript is my/ our own, and my/ our individual contribution to this work is significant enough to qualify for authorship.
  •  I/We also agree to the authorship of the article in the following order:

Author’s name                                    

 

1. ________________

2. ________________

3. ________________

4. ________________

 

We  Author(s) tick this box and would request you to consider it as our signature as we agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal.