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Iranian Journal of Medical Sciences، جلد ۳۳، شماره ۱، صفحات ۷-۰
عنوان فارسی
چکیده فارسی مقاله
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عنوان انگلیسی Treatment of Open Tibial Fractures: Convert-ing or Continuing External Fixation?
چکیده انگلیسی مقاله Background: The treatment of open tibial fractures is still an orthopaedic challenge and full of complications. In many cases the use of external fixator that has been known as a non-::union:: machine is obligatory with a high incidence of pin track infection and other complications. The aim of this study was to compare the use of external fixation as a definite method for treatment of open tibial fractures with its subsequent conversion to internal fixation or casting. Methods: Sixty-seven young patients with type III open tibial fractures (Gustilo-Anderson classification) were treated with half pin external fixation. Twenty of them were converted into internal fixation after a period of 6-8 weeks. For another twenty-five, external fixator was removed and treatment continued with casting for a period lasting from 16 to 20 weeks. And for twenty two patients the fixator continued until complete ::union::. The patients followed up for 10-16 months and were evaluated in terms of ::union:: time, ::union:: rate, infection, range of motion, mal::union::, non-::union::, nerve injury, and reduction. Results: There was a meaningful difference only in the ::union:: time and superficial infection between the first group and the other two groups. Conclusion: The conversion of external to internal fixation can be considered as a safe, effective, less complicated, and more acceptable method for the treatment of open tibial fractures.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله سعید طباطبایی | saaid tabatabai


ابراهیم حسینی | e hosseini


نشانی اینترنتی http://ijms.sums.ac.ir/index.php/IJMS/article/view/1587
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article(s)
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