دورية أكاديمية
Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report
| العنوان: | Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report |
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| المؤلفون: | Golubović Ivan, Vukašinović Zoran, Stojiljković Predrag, Golubović Zoran, Stojiljković Danilo, Radovanović Zoran, Ilić Nenad, Najman Stevo, Višnjić Aleksandar, Arsić Stojanka, Todorović Momčilo |
| المصدر: | Srpski Arhiv za Celokupno Lekarstvo, Vol 140, Iss 7-8, Pp 515-520 (2012) |
| بيانات النشر: | Serbian Medical Society, 2012. |
| سنة النشر: | 2012 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | high velocity missile fracture of the tibia, nonunion, external fixation, compression-distraction external fixator Mitkovic, Medicine |
| الوصف: | Introduction. The missiles of modern firearms can cause severe fractures of the extremity. High velocity missile fractures of the tibia are characterized by massive tissue destruction and primary contamination with polymorphic bacteria. Treatment of these fractures is often complicated by delayed healing, poor position healing, nonhealing and bone tissue infection. Case Outline. We present the management of tibial nonunion after wounding by high velocity missile and primary treatment by external fixation in a 25-year-old patient. The patient was primarily treated with external fixation and reconstructive operations of the soft tissue without union of the fracture. Seven months after injury we placed a compression-distraction external fixator type Mitkovic and started with compression and distraction in the fracture focus after osteotomy of the fibula and autospongioplasty. We recorded satisfactory fracture healing and good functional outcome. Conclusion. Contamination and devitalization of the softtissue envelope increase the risk of infection and nonunion in fractures after wounding by high velocity missile. The use of the compression-distraction external fixator type Mitkovic may be an effective method in nonunions of the tibia after this kind of injury. [Projekat Ministarstva nauke Republike Srbije, br. III 41004] |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Serbian |
| تدمد: | 0370-8179 |
| Relation: | https://doaj.org/toc/0370-8179 |
| DOI: | 10.2298/SARH1208515G |
| URL الوصول: | https://doaj.org/article/83cbcda14c154d73b8113eb1a0ec33e7 |
| رقم الأكسشن: | edsdoj.83cbcda14c154d73b8113eb1a0ec33e7 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03708179 |
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| DOI: | 10.2298/SARH1208515G |