Taylor spatial frame in the treatment of open tibial shaft fractures

Al-Sayyad, Mohammed J.

doi:10.4103/0019-5413.43393

Cited by 18 publications

(24 citation statements)

References 36 publications

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“…There is no significant difference between these two treatment methods in fracture healing time, deep tissue infection, and osteomyelitis in open tibial and femoral fractures [ 13 ]. Traditional circular fixators need excellent preoperative planning and careful application [ 5 ]. Computer-assisted external fixation systems are based on Ilizarov principles and provide similar stability to that of Ilizarov-type external fixators with easier application.…”

Section: Discussionmentioning

confidence: 99%

“…Computer-assisted external fixation systems are based on Ilizarov principles and provide similar stability to that of Ilizarov-type external fixators with easier application. Nowadays, they are more commonly used in the treatment of open fractures [ 5 , 14 , 15 ]. This study presents the use of the Spider Frame in open fractures, and to our knowledge, is the first paper in the literature about this computer-assisted system.…”

Section: Discussionmentioning

confidence: 99%

“…Ilizarov presented his circular fixator concept, and many surgeons use these systems in the treatment of long bone open fractures [ 2 , 3 ]. A long learning curve, difficulties during applications, and the need for fluoroscopy during procedures are the main disadvantages [ 4 , 5 ]. It is possible to overcome these disadvantages with computer-assisted circular fixator systems [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy

et al. 2016

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BackgroundDeveloped for the treatment of deformity correction, computer-assisted circular external fixators in recent years have also been used for fracture fixation. In this study, we aimed to present the efficacy of computer-assisted circular external fixator use in open long bone fractures with our new technique.MethodsBetween February 2013 and June 2014, 14 patients (mean age 24.5 (range 20–32)) with open tibial or femoral open fractures were treated with the computer-assisted fixation system (Spider Frame-Tasarım Medikal, Istanbul, Turkey). In all patients, appropriate positions of the rings and Schanz screws were determined by measurements on preoperative radiographs. The length of the Schanz screws were determined by depth measure marks on drill bits. Obvious deformities were corrected intraoperatively by manipulations, but residual deformities were corrected by a software program (Spiderfix, Tasarım Medikal, Istanbul, Turkey). We did not use fluoroscopy during the procedures.ResultsTen patients had tibia diaphyseal and four patients had femoral diaphyseal fractures. Mean surgical time was 24.2 (range 18–28) min. Average follow-up time was 10.2 (range 9–14) months. Mean time for deformity correction was 3.1 (2–5) days. Complete union was observed in all patients with a mean of 4.9 (range 3–9) months. There were two grade 2 pin site infections treated with oral antibiotherapy and pin site care. We did not detect any Schanz screw breakage, loosening, deep infection, nonunion, or malunion.ConclusionsComputer-assisted external fixation systems can be used in the treatment of open fractures, and they provide the chance for acute or gradual correction. Preoperative planning and assistant devices with depth measures may decrease the procedure time and the need for fluoroscopy use.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy

et al. 2016

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“…Redness or tenderness near a pin (stage 1) or serous discharge (stage 2) or seropurulent or purulent discharge (stage 3) was taken as evidence of infection. The above classification set aside grades 4 and 5 of the Dahl classification [ 20 ] (4 = osteolysis requiring pin removal and 5 = ring sequestrum requiring debridement) which we presume are representative of a complicated infection. Swabs were taken from any pin-site with serous, seropurulent and purulent discharge for microscopy, culture and sensitivity.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of 1 % silver sulphadiazine dressings in preventing infection of external fixation pin-tracks: a randomized study

Ogbemudia¹,

Ogbemudia²,

Edomwonyi³

2015

Strategies in Trauma and Limb Reconstruction

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Pin-track infection (PTI) is a common complication of external fixation. Antimicrobial dressings of the pin-site interface should reduce the severity and incidence of PTI. This study is aimed at determining the efficacy of 1 % silver sulphadiazine dressings in preventing PTI in external fixation. We compared the incidence of PTI between group A (dry sterile gauze dressing) and group B (1 % silver sulphadiazine impregnated gauze dressing). PTI was diagnosed when there was: (1) redness around any pin-site, (2) tenderness near a pin-site and (3) serous or purulent discharge from the pin-skin interface. With infection, swab was obtained for microscopy, culture and sensitivity. Pin-track infections were diagnosed in 22.5 and 4.1 % of patients in groups A and B, respectively. This difference was statistically significant. The commonest organism isolated from swabs was Staphyloccus aureus. In patients with external fixation, 1 % silver sulphadiazine lowered PTI. This further underlines the need for antimicrobial dressings of pin-sites. We recommend the use of 1 % silver sulphadiazine impregnated ribbon gauze for pin-site dressings.Level of evidence II.

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“…Many studies in recent years have reported on the successful use of hexapod‐based external fixators in clinical practice for various indications. In some of these studies, the authors define the achieved clinical accuracy as the amount of remaining bone deformity (angulation and torsion in degrees, and translation in millimeters or percentage of dislocation) . In other studies, the standard joint angle system established by Paley and colleagues is used as the reference to report clinical accuracy .…”

Section: Introductionmentioning

confidence: 99%