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Treatment of Open Tibial Fracture with Repofix External Fixator
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Ho Choi, Hoon Kim, Neung cheol Shin, Sang Ho Shin, Dong Soo Han
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J Korean Soc Fract 2001;14(3):412-418. Published online July 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.3.412
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 Abstract
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- PURPOSE
The purpose of this study is to evaluate the results of treatment of open tibial fracture with Repofix external fixator by clinical and radiological assessement.
MATERIAL AND METHODS: 24 cases of open tibial fracture, who had been treated with Repofix external fixator from Oct. 1995 to June 1999, were evaluated about distribution of gender, age, cause of injury, fracture site and pattern, and assessed bony union time and complication.
RESULTS
The mean period of application of external fixator was 12.3 weeks and we kept PTB cast until bony union for average 11.5 weeks.
According to Gustilo-Anderson's classification, the mean bony union time was 21.7 w e e k s ( type I ), 36 weeks(type II) and 39 weeks(type III), simple fracture was 22 weeks, comminuted fracture was 32 weeks(p<0.05). Complications were pin site infection(9 cases), delayed union(3 cases), nonunion(1 cases) and focal skin necrosis(1 case). There was no loss of motion about joint.
CONCLUSION
Repofix external fixator, which has the advantages of accurate reduction without extension of wound and decreases motion limitation of neighboring joint, is alternative useful appratus for open tibial fracture.
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Citations
Citations to this article as recorded by  - Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases
Ji-Hye Geum, Hyeon-Jun Woo, Jong-gyu Kim, Jung-Han Lee
Journal of Korean Medicine Rehabilitation.2020; 30(4): 203. CrossRef
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Treatment of the Clavicular Shaft Fractures with K-wires
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Ho Choi, Hoon Kim, Neungcheol Shin, Dongsoo Han
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J Korean Soc Fract 2001;14(3):450-455. Published online July 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.3.450
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Abstract
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We report the results of treatment of the clavicular shaft fractures with Kwires.
MATERIALS AND METHODS
We treated 25 cases of clavicular shaft fractures with Kwires from June, 1998 to March, 2000 and analyzed the union period, functional results and complications.
RESULTS
Clinical union period was 3.2 weeks, radiologic union period was 8.3 weeks. The functional results were excellent or good in 21 cases(84 %) and there was no delayed or nonunion.
CONCLUSION
In the treatment of the clavicular shaft fractures, intramedullary fixation with K-wires is thought to be simple and effective method.
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Treatment of Open Type-III Tibial Shaft Fractures -Comparison Between Ilizarov External Fixation and Secondary Intramedullary Nailing-
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Hoon Kim, Woo Dong Nam, Ki Chan Ahn, Seung Seok Seo, Young Chang Kim, Jang Seok Choi, Young Goo Lee
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J Korean Soc Fract 1998;11(1):191-197. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.191
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Abstract
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- Open type III tibial shaft fractures have a high incidence of complication and a poor outcome. The most usual method of stabilization is by external fixation, but there are several complications as infection, delayed union and nonunion.
We tried to compare the results of Ilizarov external fixation cases with the case of secondary intramedullary nailing after temporary Ilizarov fixation. There was no significant difference in the union time of Ilizarov external fixation and secondary intramedullary nailing after temporary Ilizarov fixation. But the patients were more comfortable in the secondary intramedullary nailing. In conclusions, secondary intramedullary nailing after temporary Ilizarov fixation is the useful method in the treatment of open type III tibial shaft fractures.
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