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Gordon, Joel; Kelly-Hahn, Jill; CARPENTER, CHRIS J.; Schoenecker, Perry L.

doi:10.1097/00004694-200003000-00006

Cited by 42 publications

(19 citation statements)

References 5 publications

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“…however a number of studies reported significant complications such as infection, delayed union, refracture, limb overgrowth, malunion, need for remanipulation, and joint stiffness 24–29. Complications related to pin site problems have been well described in tibial external fixation 3334. Henley et al .…”

Section: Discussionmentioning

confidence: 99%

Taylor spatial frame in the treatment of open tibial shaft fractures

Al-Sayyad

2008

Indian J Orthop

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Background:The Taylor spatial frame (TSF) is a modern multiplanar external fixator that combines the ease of application and computer accuracy in the reduction of fractures. A retrospective review of our prospective TSF database for the use of this device for treating open tibial fractures in pediatric, adolescent, and adult patients was carried out to determine the effectiveness and complications of TSF in the treatment of these fractures.Materials and Methods:Nineteen male patients with open tibial fractures were included. Of these fractures, 10 were Gustilo Type II, five were Gustilo Type IIIA (two had delayed primary closure and three had split thickness skin grafting), and four were Gustilo Type IIIB (all had rotational flaps). Twelve of our patients presented immediately to the emergency room, and the remaining seven cases presented at a mean of 3 months (range, 2.2-4.5 months) after the initial injury. The fractures were located in proximal third (n=1), proximal/middle junction (n=2), middle third (n=3), middle/distal junction (n=8), distal third (n=3), and segmental fractures (n=2). Patients were of an average age of 26 years (range, 6-45years). Mean duration of follow-up was 3.5 years.Results:All fractures healed over a mean of 25 weeks (range, 9-46 weeks). All were able to participate in the activities of daily living without any difficulty and most were involved in sports during the last follow-up. Postoperative complications included pin tract infection in 12 patients.Conclusion:The TSF is an effective definitive method of open tibial fracture care with the advantage of early mobilization, ease of soft tissue management through gradual fracture reduction, and the ability to postoperatively manipulate the fracture into excellent alignment.

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Section: Discussionmentioning

confidence: 99%

Taylor spatial frame in the treatment of open tibial shaft fractures

Al-Sayyad

2008

Indian J Orthop

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“…One such meeting was the Royal College of Nursing meeting held in the United Kingdom in 2010, which published their guidelines in 2011 [32]. In lieu of this, there are still a myriad of protocols available, ranging from a nihilistic approach with no active pin site care [29], to twice daily cleaning and dressings plus oral antibiotics for the entire duration of the external fixator [3]. …”

Section: Pin Site Carementioning

confidence: 99%

“…The appropriate time to commence pin track care vary greatly in the literature with published times ranging from 24 h to 10 days [2, 3, 5, 10, 27–29, 31]. The frequency of pin track cleaning also differ, with authors suggesting once daily [6, 27], twice daily [3, 4], weekly [27, 33] or ‘when required’ [28].…”

Section: Pin Site Carementioning

confidence: 99%

Prevention and management of external fixator pin track sepsis

Ferreira

Marais

2012

Strategies in Trauma and Limb Reconstruction

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Pin track-associated complications are almost universal findings with the use of external fixation. These complications are catastrophic if it leads to the failure of the bone–pin interface and could lead to pin loosening, fracture non-union and chronic osteomyelitis. Strategies proposed for the prevention and management of pin track complications are diverse and constantly changing. Prevention of external fixation pin track infection is a complex and ongoing task that requires attention to detail, meticulous surgical technique and constant vigilance.

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“…Regarding pin tract infection, we reported 12 grade 1 (pain, erythema, or tenderness around the pin site), 8 grade 2 (characteristics of grade 1 infections plus serous drainage) and 5 grade 3 (characteristics of grade 1 infections plus purulent drainage) according to Gordon’s grading system [13]. Pin-site infections were treated by oral antibiotics (amoxicillin) [14, 15] except for one, which required intravenous antibiotics and one half-pin removal without compromising the frame’s stability.…”

Section: Resultsmentioning

confidence: 99%

Cosmetic lengthening: What are the limits?

Guerreschi

Tsibidakis

2016

Journal of Children's Orthopaedics

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ObjectivesIn the last decades, limb lengthening has not been limited to the treatment of patients with dwarfism and deformities resulting from congenital anomalies, trauma, tumor and infections, but, has also been used for aesthetic reasons. Cosmetic lengthening by the Ilizarov method with circular external fixation has been applied to individuals with constitutional short stature who wish to be taller.Materials and methodsFrom January 1985 to December 2010, the medical records of 63 patients with constitutional short stature (36 M, 27F; 126 legs) who underwent cosmetic bilateral leg lengthening using a hybrid advanced fixator according to the Ilizarov method, were reviewed, retrospectively. The mean age was 24.8 years, while the mean preoperative height was 152.6 cm. Paley’s criteria were used to evaluate problems, obstacles, and complications from the time of surgery until 1 year after frame’s removal.ResultThe mean lengthening achieved in all patients was 7.2 cm (range: 5–11 cm), with a mean duration of treatment of 9 months and 15 days (range: 7–18 months). The mean follow-up time was 6.14 years (range 1–10).ConclusionThe cosmetic leg lengthening was helpful to all patients, improving their social capabilities and self-confidence. All patients considered their stature as normal and they reported satisfaction and gratification with important changes in their professional and personal life. Cosmetic leg lengthening may raise some ethical objections and for that reason patients should be well informed about all the risks and complications related to this type of surgery.

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Untitled

Cited by 42 publications

References 5 publications

Taylor spatial frame in the treatment of open tibial shaft fractures

Taylor spatial frame in the treatment of open tibial shaft fractures

Prevention and management of external fixator pin track sepsis

Cosmetic lengthening: What are the limits?

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