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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 4, Sayfa(lar) 266-270
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Middle Term Results of The Ilizarov Type Circular External Fixator Application for The Tibial Diaphyseal Open Fractures
Bülent ÖZKURT, Abdullah Yalçın TABAK, Mehmet Ali TÜMÖZ
Ankara Numune Eğitim ve Araştırma Hastanesi, 5. Ortopedi Kliniği, ANKARA

Objectives: To assess results of the İlizarov method and İlizarov type circular external fixator for high energy, open tibial diaphysis fractures.

Materials and methods: Between June 1998 and January 2002, 56 tibial open fractures of 51 patients aged 17 to 56 (mean 34.2) years underwent İlizarov type circular external fixation. 35 were male and 16 were female. There were 15 Type I, 22 Type II, 13 Type III A and six Type III B open fractures. All Type I ve Type II open fractures were highly contaminated, comminuted, segmented or defective.

Results: the mean follow-up period was 94 (range 72-109) months. 52 of 56 tibia healed nonproblematically but four needed bone grafting with a second operation. The mean union time was 19 (range12-43) weeks. Complications consisted often low grade and one deep pin tract infection, two and three cm shortness in two cases.

Conclusion: Our study suggests that İlizarov method and İlizarov type circular external fixator is more beneficial than the other alternatives on open tibial diaphyseal fractures with its giving possibility to three dimensional and multi level movement, minor traumatizing feature. ©2008, Firat University, Medical Faculty.


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