A holistic perspective of patients' lives post‐<scp>I</scp>lizarov external fixation

Baschera, Dominik; Kingwell, Doug; Wren, Michael; Zellweger, René

doi:10.1111/ans.12669

Cited by 6 publications

(11 citation statements)

References 19 publications

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“…The study reported a major burden of mental and physical stress for both patients and their relatives. In contrast, Baschera et al [11] reported no significantly worse SF-12 mental component score compared to a normal population in patients treated with ring fixator after 1–9 years’ follow-up. The overall mental health for patients with complex fractures of the tibial bone may be a point of further interest in clinical evaluation, treatment and research in the future.…”

Section: Discussionmentioning

confidence: 95%

A prospective observational study of 56 patients treated with ring fixator after a complex tibial fracture

Elsøe¹,

Kold²,

Larsen³

et al. 2017

Strategies in Trauma and Limb Reconstruction

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The objective of this prospective study was to evaluate the patient-reported outcomes for patients with complex tibial fractures treated with a ring fixator. The secondary aim was to analyse the variables affecting patient-reported outcomes and time to union. Fifty-six patients participated in the study. The mean age at the time of fracture was 56.5 years (range 30–86). All fractures united during the study period. The ring fixator was removed at an average of 25.3 weeks (range 9–53). During treatment, the function and QOL increased with time. Compared with an established reference population, the study population showed a significantly worse EQ5D-5L index both throughout the treatment period and 8 weeks after frame removal. 18% of patients reported mild to severe depression 8 weeks after frame removal.Electronic supplementary materialThe online version of this article (doi:10.1007/s11751-017-0275-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 95%

A prospective observational study of 56 patients treated with ring fixator after a complex tibial fracture

Elsøe¹,

Kold²,

Larsen³

et al. 2017

Strategies in Trauma and Limb Reconstruction

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“…Vascularized fibular grafts may be indicated for pseudarthroses with gaps of more than 5 cm and for pseudarthroses in which multiple surgical procedures have failed [7,8]. The use of free vascularized fibular grafts has been advocated by some for treatment of osteonecrosis of the femoral head [9][10][11]. Others have used it to treat bone defects associated with tumor resections [7,12,13].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, hypertrophic bone fractures have been reported and therefore some advocate protecting the vascularised fibular flap in the lower limb for the first few years after implantation [9,12,14]. The Ilizarov external fixator continues to be an effective and versatile method for treatment of difficult nonunions complicated by complex deformity, infection, and bone loss [10,11,15]. One advantage of external fixation is that it is relatively noninvasive and does not disturb soft tissues surrounding the nonunion.…”

Section: Discussionmentioning

confidence: 99%

“…We treated 18 cases with congenital pseudarthrosis and 27 cases with acquired large bone defects between 1998 and 2015. There were 13 males and 5 females among cases with congenital pseudarthrosis of the tibia and their average age was 7.4 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). Among them, 16 cases were treated using the FVFG and 2 cases using the compression- external fixator was used in 11 cases and intramedullary nailing in 5 cases.…”

Section: Methodsmentioning

confidence: 99%

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Treatment of Large Bone Defect of Long Bones: Comparison of Free Vascularized Fibular Graft with Compression-Distraction Technique

Kim¹,

Ri²,

Jang³

et al. 2019

J Orthop Sports Med

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We treated 18 patients with congenital pseudarthrosis of tibia and 27 patients with acquired bone loss. Out of 18 cases of congenital pseudarthrosis of tibia the free vascularized fibular grafts (FVFGs) were performed in 16 cases and compression-distraction techniques in 2 cases. In patients with angular deformities and shortenings in the lower leg soft tissue distraction and correction were conducted. The mean soft tissue distraction period was 78.4 days, the length of bone defect 10.7 cm, the mean operative time 3.2 hours, and primary bone healing achieved in 12 cases.The mean union period was 7.3 months and the mean period of full weight bearing was 10.8 months. In 4 cases pseudarthroses and deformities developed and healed secondarily, and the treatment period ranged from 16 months to 26 months. The mean length of bone defects was 9.7 cm and the mean period of full weight bearing 14 months.The mean length of bone defects in the group of Ilizarov technique was 6.6 cm, the mean period of distraction 82 days and the mean period of full weight bearing 12.2 months. The complications include pseudarthrosis, refracture, angular deformity, equinovarus and temporary peroneal nerve palsy in the FVFG group and in the group of compression-distraction technique, refracture, equinovarus and temporary peroneal nerve palsy. The FVFG is suitable for the treatment of pseudarthrosis in young patients and the compression-distraction technique is effective option for the treatment of bone defects of patients with infection and deformity.

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“… 4 5 Due to this, it is important to highlight that the period of treatment with the fixator is usually long, about 15 months in cases of bone stretching, 4 resulting in alterations, even if transient, in daily life, quality of life and functionality of patients. According to Baschera et al, 6 treatment with the circular external fixator is effective and fulfills its biological function for the proposed goal. However, it was noted that the return to previous work activities did not occur in the same time interval for all patients involved.…”

Section: Introductionmentioning

confidence: 99%

Avaliação da qualidade de vida dos pacientes em uso de fixador externo circular em um hospital de trauma

Vogt

Hobi

Faggion

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar a qualidade de vida dos pacientes em uso do fixador externo do tipo Ilizarov para tratamento de fraturas complexas e de suas sequelas Método Trata-se de um estudo observacional e transversal, em que foi aplicado o questionário 36-item short form survey (SF-36) (traduzido para a língua portuguesa) durante as consultas ambulatoriais em 2 períodos, nos meses de julho de 2018 e janeiro de 2019. Os pacientes que participaram do estudo realizaram seus procedimentos cirúrgicos no período de janeiro a junho de 2018. Resultados Foram avaliados 36 pacientes em uso de fixador externo do tipo Ilizarov. Foi observado predomínio do sexo masculino e idade média de 37,9 anos. As fraturas de ossos da perna e suas complicações representaram metade da amostra. Foi observada melhora na capacidade funcional e nos aspectos emocionais dos pacientes ao longo do tratamento. Conclusão O uso do fixador externo circular constitui um método importante e eficaz para o tratamento cirúrgico de fraturas complexas e de suas sequelas. Este trabalho permitiu concluir que, após o tratamento, os pacientes alcançaram retorno funcional às atividades diárias com adequada qualidade de vida.

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A holistic perspective of patients' lives post‐Ilizarov external fixation

Abstract: Patient's quality of life scores correlated directly with their injury severity and pre-existing conditions. They were not negatively affected by IEF treatment itself. High quality of life scores (non-physical) were achieved with IEF treatment.

Cited by 6 publications

References 19 publications

A prospective observational study of 56 patients treated with ring fixator after a complex tibial fracture

A prospective observational study of 56 patients treated with ring fixator after a complex tibial fracture

Treatment of Large Bone Defect of Long Bones: Comparison of Free Vascularized Fibular Graft with Compression-Distraction Technique

Avaliação da qualidade de vida dos pacientes em uso de fixador externo circular em um hospital de trauma

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