Summary
Ninety-six compound or unstable fractures of the tibial shaft were treated with external fixation of different mountings. The median healing time was 10 months without a statistically significant difference between the healing time after treatment with unilateral frames and quadrilateral frames. The rate of pin-track infection was 36%, which is comparable to those of other published series. Seven cases of chronic osteitis and four pseudarthroses required further surgical management. We had no primary or secondary amputations in this series.
Zusammenfassung
96 offene oder instabile Tibiaschaftfrakturen wurden mit verschiedenen Typen von externen Fixateuren nach Hoffmann behandelt. Die mittlere Heilungsdauer war 10 Monate, wobei kein statistisch signifikanter Unterschied zwischen unilateralen und quadrilateralen Fixateuren nachgewiesen werden konnte. Bohrloch-Infektionen traten in 36% der Fälle auf, was mit anderen veröffentlichten Serien vergleichbar ist. Vier Pseudarthrosen und 7 Fälle von chronischer Osteomyelitis erforderten weitere chirurgische Eingriffe, primary oder sekundäre Amputationen waren nicht erforderlich.
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Schrøder, H.A., Christoffersen, H., Scherff Sørensen, T. et al. Fractures of the shaft of the tibia treated with Hoffmann external fixation. Arch. Orth. Traum. Surg. 105, 28–30 (1986). https://doi.org/10.1007/BF00625656
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DOI: https://doi.org/10.1007/BF00625656