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Acta medica Medianae
2018, vol. 57, iss. 4, pp. 22-28
article language: English
document type: Original Scientific Paper
published on: 24/01/2019
doi: 10.5633/amm.2018.0403
Creative Commons License 4.0
Primary wound care and external skeletal fixation in surgical treatment of open tibial fractures
aUniveristy of Niš, Faculty of Medicine
bUniveristy of Niš, Faculty of Medicine + Clinical Centre Niš, Clinic of Orthopaedic and Traumatology
cClinical Centre Niš, Clinic of Orthopaedic and Traumatology
dUniveristy of Niš, Faculty of Medicine + Clinical Centre Niš, Center for Radiology
eUniveristy of Niš, Faculty of Medicine + Clinical Centre Niš, Clinic for General Surgery
fUniversity of Belgrade, Faculty of Medicine, Institute of Orthopedic Surgery 'Banjica'

e-mail: doktorzorangolubovic@gmail.com

Project

Virtual human osteoarticular system and its application in preclinical and clinical practice (MESTD - 41017)

Abstract

Open tibial fractures are the most severe orthopaedic injuries. The lower leg is often injured due to its position in the locomotor system. The injuries of the lower leg skin and soft tissues, bone comminution and threatening infections make the treatment of these fractures particularly complex. The management of open tibial fractures is potentially associated with numerous complications. The data on treatment outcomes of 36 patients operatively treated for the open tibial fractures in Clinic for Orthopaedic surgery and traumatology, Clinical Center Nis in Serbia during the period from January 1, 2012 to June 31, 2014 were retrospectively analyzed and compared. In all the patients, after thorough wound rinsing, removal of the foreign bodies, debridement and delayed wound closure, fractured bone segments were repositioned and stabilized using external fixator. In 28 (77.78%) patients fractures healed without major complications, while in 8 (22.22%) major complications occurred, including tibial osteomyelitis in 3 (8.33%) and fracture malunion in 5 (13.88%) patients. Primary wound care, external fixation, antibiotic and antitetanus prophylaxis are crucial in treatment of open tibial fracture.

Keywords

Open tibial fractures; primary wound care; external skeletal fixation

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