Osteossíntese provisória das fraturas expostas da diáfise da tíbia com fixador externo não transfixante

Hungria, José Octávio Soares; Mercadante, Marcelo Tomanik

doi:10.1590/s0102-36162008000100005

Cited by 3 publications

(4 citation statements)

References 20 publications

(100 reference statements)

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“…In this regard, the Pinless ® external fixator has the potential advantage that the conversion to an intramedullary nail can be done with the Pinless ® external fixator fixed to the bone. If the primary reduction is satisfactory, the conversion to an intramedullary nail will not present difficulties 5 …”

Section: Discussionmentioning

confidence: 99%

“…The Pinless ® external fixation was conceived to be used temporarily in treating exposed tibial shaft fractures 8 . The technique for fracture reduction and installation of the Pinless ® external fixation was described in another study 5 , as were the preliminary results from temporary fixation using this method, in treatments for exposed tibial shaft fractures. For definitive fixation, an unreamed intramedullary locked nail was used in all cases (UTN ® ) (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…In 2008, we described our experience 5 from treating exposed fractures of the tibial shaft, of Gustilo and Anderson grades I and II, 3 fixed provisionally using a non-transfixing external fixator (Pinless ® ; Synthes AG ® ).…”

Section: Introductionmentioning

confidence: 99%

“…At the emergency service, the 43 patients underwent surgical cleaning, debridement and stabilization using Pinless ® external fixation (Synthes AG ® ) 5 . After external fixation, all the patients were kept hospitalized so that the wound could be cared for, and no weight-bearing on the affected limb was allowed until conversion to UTN ® .…”

Section: Introductionmentioning

confidence: 99%

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Open tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator

Hungria

Mercadante

2013

Revista Brasileira de Ortopedia (English Edition)

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Objective To evaluate the incidence of union, nonunion, deep infection and factors influencing the time of bone healing in the treatment of open tibial shaft fractures Gustilo and Anderson types I and II initially treated with a non penetrating external fixator (Pinless ® ) followed by an unreamed intramedullary locked nail (UTN ® ). Methods It is a prospective study of 39 open tibial shaft fractures. According to the AO classification, 16 patients (41.0%) were type A, 17 (43.6%) were type B and six (15.4%) were type C. According to the Gustilo and Anderson classification, 14 patients (35.9%) were type I and 25 (64.1%) were type II. For the definitive stabilization of the fracture were used an unreamed intramedulary locked nail (UTN ® ). Results Bone healing was achieved in 97.4% of the cases, with a mean time of 21.2 weeks, ranging from 12 to 104 weeks. Deep infection was seen in 2.6% patients and malunion were seen in 5.1%. Only the presence of complications were statistically significant to the time of bone healing, with a risk of faster healing in patients without complications of 4.29 times (CI 95%: 1.25–14.71) comparing to patients with complications. Conclusion The treatment of open tibial shaft fractures with unreamed intramedullary locked nail allows high rates of bone healing, low rates of nonunion and deep infection, and only the presence of complications is statistically significant to the time of bone healing.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Open tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator

Hungria

Mercadante

2013

Revista Brasileira de Ortopedia (English Edition)

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Fratura exposta da diáfise da tíbia – tratamento com osteossíntese intramedular após estabilização provisória com fixador externo não transfixante

Hungria

Mercadante

2013

Revista Brasileira de Ortopedia

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Comparing Intramedullary Nailing, External Fixation, and External Fixation followed by Intramedullary Nailing as management for open fractures of the tibial shaft: a Systematic Review

2015

Int Arch Med

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Background:The treatment of open fractures of the tibial shaft is often a dilemma since it requires particular caution and individual assistance for each case. Methods and Findings:Systematic review of the literature was conducted on the following databases: PubMed and VHL from 2000 to 2013 aiming to compare Intramedullary Nailing (IM Nailing), External Fixation (EF), and EF followed by IM Nailing in the treatment of open fractures of the tibial shaft. After analysis by inclusion criteria 24 articles met the eligibility criteria. The healing time was under 32 weeks, and the nonunion and defective healing rates were under 13.35% and 16.6%, respectively. The infection rate ranged from 3% to 53% for patients treated with EF as definitive management; from 0% to 22% for those treated with IM Nailing as definitive management; and from 0% to 16.7% for those who underwent EF followed by IM Nailing.

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Osteossíntese provisória das fraturas expostas da diáfise da tíbia com fixador externo não transfixante

Abstract: Osteossíntese provisória das fraturas expostas da diáfise da tíbia com fixador externo não transfixante

Cited by 3 publications

References 20 publications

Open tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator

Open tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator

Fratura exposta da diáfise da tíbia – tratamento com osteossíntese intramedular após estabilização provisória com fixador externo não transfixante

Comparing Intramedullary Nailing, External Fixation, and External Fixation followed by Intramedullary Nailing as management for open fractures of the tibial shaft: a Systematic Review

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