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Percutaneous External Fixation versus open methods InManagement Of Fractures | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 2, Issue 122, 2016, Pages 44-50 | ||
| Author | ||
| Ali Hafid Khudai | ||
| Abstract | ||
| External fixation is one of available methods used to hold reducedFractures and prevent displacement during the period of healing. External fixation can beused not only for stabilization of acute open fractures and management of the soft tissues, butalso in the delayed management of fracture with bone loss.Percutaneous external fixation was performed for closed and open fractures due to differentinsults ,especially for those patients with multiple injuries, with high anesthetic risk for whomshort, less invasive and less extensive technique is required.The aim of this study is to evaluate the advantages and disadvantages of such modality oftreatment in fractures of long bones and to compare the results of (group A)for whompercutaneous external fixation was done and (group B)for whom open reduction &internal orexternal fixation were performed.A comparative study was conducted over 59 month (June1999-November2003) on 70 patientsof both genders, and of different ages, with 77 fractures of ,femur (36), tibia (25), humerus(16),or combination of any two of them .Infection(68%), malunion (36%),jointstiffness(36%)in addition to limb shortening (18%),were common in group (A),while delayedunion(20%),nonunion (20%)and peripheral nerve injury (9%)were common in group(B).Usage of percutaneous procedure in application of external fixator in poly traumatized patientis an encouraging and gratifying method, with ease of application ,and showed good amountof rigidity during the course of treatment and in decreasing the morbidity regarding the bloodloss and major surgical exposure of the fracture site. | ||
| Keywords | ||
| Percutaneous External Fixation versus open methods InManagement Of Fractures; InManagement | ||
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