External fixation for treatment of complications of limb fractures.docVIP

 PAGE \* MERGEFORMAT 7 External fixation for treatment of complications of limb fractures In recent years, bone fracture fixation device as another means of more and more widely in clinical, in the treatment of extensive soft tissue injury and defects of the open fractures, comminuted fracture, multiple fractures, fractures of wound infection and other fractures has its unique role and value, but it is often in the clinical application of a number of complications occurred. In this paper, 69 cases of arm-type external fixator (ie, Bastiani modified) in treatment of limb fractures were followed up for investigation, appeared wearing a pin site infection, joint flexion obstacles, and slow healing of bone non-union, fracture re-displacement, blood vessels and nerve damage and other complications of a total of 13 cases, now on its various complications to make the following report and. An information and 1996 ~ November 2001 admitted cases of external fixator data analysis, a total of 69 cases, of which 42 males, female 27 cases; age of 18 to 59 years old, 28 cases of femoral fractures, 35 cases of tibial fractures, humerus fractures 6; open fractures, 46 cases of closed, comminuted fracture, multiple fractures in 23 cases; 69 cases, accompanied by soft tissue defect, wound infection in 11 cases of fracture. Adopt surgical treatment of external fixator. 2 Results 69 cases of external fixation devices placed in patients with post-operative complications were 13 cases, the incidence of 18.8%. Site appears to wear nail infection in 6 cases (8.7%, femur fracture pin tract infection in 2 cases, pin tract infection of tibial fractures, 4 cases); flexion barriers and stiffness in 3 cases (4.3%, both knee flexion barriers) ; slow healing of fractures in 2 cases (2.9%, both tibial fractures); vascular nerve injury in 2 cases (2.9%, 1 case of radial nerve injury, 1 case of common peroneal nerve injury). 3 Discus