Bone Immobilization devices and consolidation mechanisms: Impact on healing time

Flores, Andréia Silva; Marques, Arcelina; Machado, Joana Cruz Marangon; Marta, Miguel; Vaz, Mário

doi:10.1016/j.prostr.2017.07.058

Cited by 1 publication

(3 citation statements)

References 30 publications

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“…In spite of the changes in designs, biomechanics, versatility and indications, the basic principles of application have remained the same (9). The basic designs in use currently include: i) the linear type which can be applied in the unilateral, bilateral or multiplaner fashion, ii) the circular type which the popular designs are the Ilizarov frame and the Taylor Spartial Frame, iii) the third basic design is the hybrid type that combines the features of both linear and circular type (6,8,13,19).…”

Section: Discussionmentioning

confidence: 99%

“…The reason for this finding is not farfetched. The simple linear AO type design of external fixator is more readily available, cheaper, has a short surgical learning curve and can be used for most long bone open fractures especially that of the tibia which is the commonest indication for the use of external fixators (8,12,13). The second most frequently used type of external fixator in our centres is another more advanced form of monoplanar external fixator -the linear rail system (LRS).…”

Section: Discussionmentioning

confidence: 99%

“…Various designs of the linear type with distraction and compression components including the "linear rail system (LRS), Circular types including the Ilizarov" and "Taylor spatial Frame (TSF), and hybrid designs that incorporate both linear and circular components are now in use for a variety of indications (1,5,7,9). The indications for use of these variety of external fixators designs have also multiplied ranging from open fractures to infected fractures, peri-articfular fractures, pelvic fractures, damage control Orthopaedics, temporary fixation of fractures for later conversion to internal fixation, limb deformity correction, limb lengthening, management of bone loss, etc (5,6,8,(10)(11)(12)(13)(14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

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External fixators usage in two hospitals in Delta State south-south Nigeria

Odatuwa-Omagbemi,

Enemudo,

Otene

et al. 2023

REJHS

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Objective: To present our experience in the use of various types of external fixators in two government owned hospitals in Delta State, Nigeria.Methods: A retrospective review of patients managed with external fixators over a period of 8 years – January 2012 to December 2019, in two government owned hospitals in Delta State, Nigeria. Relevant information including bio-data, indications for external fixation, types of external fixator applied, length of time fixators were applied, etc were collected and analysed using IBM SPSS version 22.Results: A total of 94 patients (56 males and 38 females) were included in this study giving a male: female ratio of 1.5 : 1. The mean age of patients was 33.7+ 15.9 years. Four types / designs of external fixators were used, the mono-planar AO design were the ones most commonly used (67.7%), followed by the linear rail system (LRS) type (17.2%). The most common indication for external fixator application was open fractures in 67.7% of cases, followed by bone gaps resulting from bone loss (11.1%). External fixators were used as adjunct to other treatment modalities in 59 applications (59.6%) and as the definitive treatment method in 40 applications (40.4%). The commonest solution used for pin site care was Povidone iodine in 53 patients (56.4%). The mean length of time patients were on external fixators was 124.8 days (17.8 weeks). Pin tract infection was the commonest complication encountered (26.6%). The commonest indication for removal of external fixators was the healing of the wounds in open fractures with conversion to other forms of treatment, commonly cast application (42.6%). The initial aim of applying the external fixator was achieved in 75% of cases.Conclusion: External fixators have become indispensable tools in the armamentarium of modern day Orthopaedic and trauma care. Our health facilities have also effectively keyed into this.

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