Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy

Background: Developed for the treatment of deformity correction, computer-assisted circular external fixators in recent years have also been used for fracture fixation. In this study, we aimed to present the efficacy of computer-assisted circular external fixator use in open long bone fractures with our new technique. Methods: Between February 2013 and June 2014, 14 patients (mean age 24.5 (range 20-32)) with open tibial or femoral open fractures were treated with the computer-assisted fixation system (Spider Frame-Tasarim Medikal, Istanbul, Turkey). In all patients, appropriate positions of the rings and Schanz screws were determined by measurements on preoperative radiographs. The length of the Schanz screws were determined by depth measure marks on drill bits. Obvious deformities were corrected intraoperatively by manipulations, but residual deformities were corrected by a software program (Spiderfix, Tasarim Medikal, Istanbul, Turkey). We did not use fluoroscopy during the procedures. Results: Ten patients had tibia diaphyseal and four patients had femoral diaphyseal fractures. Mean surgical time was 24.2 (range 18-28) min. Average follow-up time was 10.2 (range 9-14) months. Mean time for deformity correction was 3.1 (2-5) days. Complete union was observed in all patients with a mean of 4.9 (range 3-9) months. There were two grade 2 pin site infections treated with oral antibiotherapy and pin site care. We did not detect any Schanz screw breakage, loosening, deep infection, nonunion, or malunion. Conclusions: Computer-assisted external fixation systems can be used in the treatment of open fractures, and they provide the chance for acute or gradual correction. Preoperative planning and assistant devices with depth measures may decrease the procedure time and the need for fluoroscopy use.

Yazar Kara, Adnan
Celik, Haluk
Seker, Ali
Karakoyun, Ozgur
Armagan, Raffi
Kuyucu, Ersin
Erdil, Mehmet
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3725
Tek Biçim Adres 10.1186/s13018-016-0379-9
Konu Başlıkları Open fracture treatment
Circular external fixators
Fluoroscopy
Computer-assisted circular external fixators
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
Dergi Cilt Bilgisi 11
Sayfalar -
Yayın Yılı 2016
Eser Adı
[dc.title]
Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy
Yazar
[dc.contributor.author]
Kara, Adnan
Yazar
[dc.contributor.author]
Celik, Haluk
Yazar
[dc.contributor.author]
Seker, Ali
Yazar
[dc.contributor.author]
Karakoyun, Ozgur
Yazar
[dc.contributor.author]
Armagan, Raffi
Yazar
[dc.contributor.author]
Kuyucu, Ersin
Yazar
[dc.contributor.author]
Erdil, Mehmet
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
BMC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Developed for the treatment of deformity correction, computer-assisted circular external fixators in recent years have also been used for fracture fixation. In this study, we aimed to present the efficacy of computer-assisted circular external fixator use in open long bone fractures with our new technique. Methods: Between February 2013 and June 2014, 14 patients (mean age 24.5 (range 20-32)) with open tibial or femoral open fractures were treated with the computer-assisted fixation system (Spider Frame-Tasarim Medikal, Istanbul, Turkey). In all patients, appropriate positions of the rings and Schanz screws were determined by measurements on preoperative radiographs. The length of the Schanz screws were determined by depth measure marks on drill bits. Obvious deformities were corrected intraoperatively by manipulations, but residual deformities were corrected by a software program (Spiderfix, Tasarim Medikal, Istanbul, Turkey). We did not use fluoroscopy during the procedures. Results: Ten patients had tibia diaphyseal and four patients had femoral diaphyseal fractures. Mean surgical time was 24.2 (range 18-28) min. Average follow-up time was 10.2 (range 9-14) months. Mean time for deformity correction was 3.1 (2-5) days. Complete union was observed in all patients with a mean of 4.9 (range 3-9) months. There were two grade 2 pin site infections treated with oral antibiotherapy and pin site care. We did not detect any Schanz screw breakage, loosening, deep infection, nonunion, or malunion. Conclusions: Computer-assisted external fixation systems can be used in the treatment of open fractures, and they provide the chance for acute or gradual correction. Preoperative planning and assistant devices with depth measures may decrease the procedure time and the need for fluoroscopy use.
Açıklama
[dc.description]
WOS: 000374830200002
Açıklama
[dc.description]
PubMed: 27117827
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Open fracture treatment
Konu Başlıkları
[dc.subject]
Circular external fixators
Konu Başlıkları
[dc.subject]
Fluoroscopy
Konu Başlıkları
[dc.subject]
Computer-assisted circular external fixators
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1749-799X
Dergi Adı
[dc.relation.journal]
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
Dergi Cilt Bilgisi
[dc.identifier.volume]
11
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1186/s13018-016-0379-9
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3725
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
31
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
05 Şubat 2024 13:35
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Tıklayınız
patients fractures (range computer-assisted external Schanz fixation correction Turkey) Istanbul diaphyseal determined femoral Medikal deformities treated months corrected treatment deformity circular fluoroscopy screws Average surgical Complete follow-up observed 18-28) Background Preoperative provide chance gradual planning
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