Management of open fractures using a noncontact locking plate as an internal fixator

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dc.authorid0000-0002-7814-822Xen_US
dc.contributor.authorYıldırım, Azad
dc.contributor.authorKapukaya, Ahmet
dc.contributor.authorMertsoy, Yılmaz
dc.contributor.authorYiǧit, Şehmus
dc.contributor.authorÇaçan, Mehmet Akif
dc.contributor.authorAtiç, Ramazan
dc.date.accessioned2024-04-02T08:06:50Z
dc.date.available2024-04-02T08:06:50Z
dc.date.issued2017en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground: The treatment of open fractures leads to major problems which may be due to various reasons. It mainly causes soft tissue problems due to the absorption of a large amount of energy by the soft tissues and bone tissues. Although some recent treatment protocols have eliminated many problems regarding delayed soft tissue closure, it still remains a big challange. This study uses a method called the internal fixator technique with noncontact locking plate (NC-LP) which involves the use of a combination of advantages of open and closed fixation techniques. Materials and Methods: 42 patients (32 men and 10 women) having a mean age of 34.11 years (range 17-56 years) with open fractures operated using internal fixator technique between 2007 and 2012 were included in this study. A retrospective chart review was conducted to record the following: age, gender, anatomic region of fractures, fracture etiology, classification of open fractures by Gustilo-Anderson and AO classification, surgeries, length of hospitalization, location and pattern of fracture, length of followup, and complications. Results: The fractures were caused by traffic accidents, shotgun injuries, falls from heights, and industrial crush injuries. Based on the Gustilo-Anderson classification, 31 fractures were Type III and 11 were Type II, where 23 were localized in the tibia and 19 in the femur. Patients delay for a mean of 13.5 h (range 6-24 h) for operation and the mean followup interval was 27.8 months (range 16-44 months). The mean union time was 19.7 weeks (range 16-29 weeks). One patient had delayed union and implant failure, one patient had osteomyelitis, five suffered from surface skin necrosis, and one patient had an angulation of 17° in the sagittal plane, for which no additional intervention was performed. Conclusions: This case series demonstrates that an 'internal fixator technique' is an acceptable alternative to the management of open fractures of the femur or tibia in adult patients. The NC-LP method provided opportunities to achieve a stable fixation with noncontact between the implant and the bone tissues, and the fractures were sufficiently stabilized to allow union with a low complication rate.en_US
dc.identifier.citationYıldırım, A., Kapukaya, A., Mertsoy, Y., Yiğit, Ş., Çaçan, M. A. ve Atiç, R. (2017). Management of open fractures using a noncontact locking plate as an internal fixator. Indian Journal of Orthopaedics, 51(3), 312-317.en_US
dc.identifier.doi10.4103/0019-5413.205686en_US
dc.identifier.endpage317en_US
dc.identifier.issn0019-5413
dc.identifier.issue3en_US
dc.identifier.pmid28566784en_US
dc.identifier.scopus2-s2.0-85019149120en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage312en_US
dc.identifier.urihttps://link.springer.com/article/10.4103/0019-5413.205686
dc.identifier.urihttps://hdl.handle.net/11468/13791
dc.identifier.volume51en_US
dc.identifier.wosWOS:000400995600010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKapukaya, Ahmet
dc.institutionauthorÇaçan, Mehmet Akif
dc.institutionauthorAtiç, Ramazan
dc.language.isoenen_US
dc.publisherMedknow Publicationsen_US
dc.relation.ispartofIndian Journal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectInternal fixationen_US
dc.subjectNoncontact plateen_US
dc.subjectOpen fracture MeSH termsen_US
dc.subjectBone platesen_US
dc.subjectOpen fracturesen_US
dc.subjectOsteomyelitisen_US
dc.titleManagement of open fractures using a noncontact locking plate as an internal fixatoren_US
dc.typeArticleen_US

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