Comparison of Stability of Different Types of External Fixation

Grubor, Predrag; Grubor, Milan; Asotic, Mithat

doi:10.5455/medarh.2011.65.157-159

Cited by 11 publications

(5 citation statements)

References 6 publications

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“…Mitkovich preferred internal fixator that allows a minimally invasive surgical technique, no rough handling, minimal blood loss, and provides excellent biomechanical conditions for healing ( 12 ). Surgical treatment of locked intramedullary nailing is the surest and quickest way to bone repair, if timely provide favorable biomechanical conditions on the level of the fracture ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Stability of Juvidur and Bone Models on Osteosyntesic Materials

et al. 2016

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Introduction: Artificial models can be useful at approximate and qualitative research, which should give the preliminary results. Artificial models are usually made of photo-elastic plastic e.g.. juvidur, araldite in the three-dimensional contour shape of the bone. Anatomical preparations consist of the same heterogeneous, structural materials with extremely anisotropic and unequal highly elastic characteristics, which are embedded in a complex organic structure.

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Section: Discussionmentioning

confidence: 99%

Biomechanical Stability of Juvidur and Bone Models on Osteosyntesic Materials

et al. 2016

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“…Br. 2 Nature results of treatment of war wound caused by 45 lster bombs 2. it allows for better fracture healing 11 (because of the 3-D balanced stability which is similar to the natural stability of the long bones) 11,12 , and 3. the majority of the surgeons didn't need any training on how to use the War Fixator because they had already had experience with using of Mitkovic external fixation devices.…”

Section: Fig 4 Picture and X-ray Of Patient From Fig 3 After First mentioning

confidence: 99%

Nature and results of treatment of war wounds caused by cluster bombs

Mitković

Bumbaširević

Grubor³

et al. 2013

ACTA CHIR IUG

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The aim of this study is to describe the nature of war wounds with fracture caused by cluster bombs and to suggest treatment options for such injuries. The nature of wounds caused by cluster bombs differs from those caused by conventional arms (they are more severe). The sides of the wounds are represented by conquasated soft tissues (such as fat and muscle) with thick dead tissues, ordinarily with a thickness of 0.5-4.5 cm. Another main characteristic of such injuries is the high percentage of amputations needed due to the high rate of neurovascular damage. This paper investigates the cases of 81 patients who sustained a total of 99 war wounds with fractures. The average age of the patients was 32.7 years while the youngest was 20 and the oldest, 77. According to The International Committee of the Red Cross (ICRC) classification of war wounds, 14 patients had grade I injuries, 48 patients grade II, and 29 patients, grade III. Mitkovic external fixation system, known also as the "War Fixator" was used for all fractures fixation. One protocol, which was a modification of the ICRC's protocol adapted to our specific conditions, was used throughout the study. For solving soft tissue defects, a rotator fasciocutan flap was the most frequently used. For solving of bones defect Mitkovic reconstructive external fixation device was used. All fractures we treated healed. We concluded that shortening the procedural time and being a very simple, immediate using of Mitkovic versatile external fixator ("War Fixator") is, leads to desirable results.

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“…After infections, the most serious complications of gunshot injuries of extremities are pseudarthrosis and bone defects whose treatment represents a complex problem in reconstructive surgery. When it comes to the choice of methods for treating these complications, there is no unanimous attitude (2)(3)(4). The methods of treatment are: osteoplasty with a cast or external fixator immobilization, osteoplasty and AO plate osteosynthesis and corticotomy and distraction osteogenesis according to Ilizarov.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Bone Defects in War Wounds Retrospective Study

Grubor¹,

Grubor²

2016

J Trauma Treat

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Introduction:Results of the treatment of open fractures primarily depend on the treatment of connected soft tissue injuries. Objective. The aim was to present the experience and methods gained during the treatment of diaphyseal bone defects as a consequence of gunshot fracture soft war trauma. Patients and Methods: The study consisted of 116 patients with the diaphyseal bone defect who were treated with the usage of primary and delayed autotransplantation of bones, transplants of the fibula and Ilizarov distraction osteogenesis. Results: The results of compensation of bone defect less than 4 cm and conducted by an early cortico-spongioplastics were as follows: good in 8 respondents (45%), satisfactory in 6 (34%) and poor in 4 respondents (21%). In cases of delayed cortico-spongioplastics , the above mentioned results were: good in 36 (41%) respondents, satisfactory in 24 (34%) and poor in 16 (25%) respondents. The results of compensation of bone defect greater than 4 cm with the usage of fibular transplant were as follows: good in 3 (38%) respondents, satisfactory in 3 (38%) and poor in 2 (24%), and with the usage of using the Ilizarov method, the results were as follows: good in 8 (57%) respondents, satisfactory in 3 (21.5%) and poor in 3(21.5%) respondents. Conclusion: The results showed that, in cases of compensation of bone defects less than 4 cm, the advantage is given to the primary spongioplastics over the delayed one. In cases of compensation of bone defects greater than 4 cm, the advantage is given to the Ilizarov distraction osteogenesis when compared to the fibular transplant. Key word: bone defects; autotransplantation; transplants of the fibula and Ilizarov.

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Comparison of Stability of Different Types of External Fixation

Cited by 11 publications

References 6 publications

Biomechanical Stability of Juvidur and Bone Models on Osteosyntesic Materials

Biomechanical Stability of Juvidur and Bone Models on Osteosyntesic Materials

Nature and results of treatment of war wounds caused by cluster bombs

Treatment of Bone Defects in War Wounds Retrospective Study

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