Management of open fractures using a noncontact locking plate as an internal fixator
dc.authorid | 0000-0002-7814-822X | en_US |
dc.contributor.author | Yıldırım, Azad | |
dc.contributor.author | Kapukaya, Ahmet | |
dc.contributor.author | Mertsoy, Yılmaz | |
dc.contributor.author | Yiǧit, Şehmus | |
dc.contributor.author | Çaçan, Mehmet Akif | |
dc.contributor.author | Atiç, Ramazan | |
dc.date.accessioned | 2024-04-02T08:06:50Z | |
dc.date.available | 2024-04-02T08:06:50Z | |
dc.date.issued | 2017 | en_US |
dc.department | Dicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı | en_US |
dc.description.abstract | Background: 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.citation | Yıldırım, 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.doi | 10.4103/0019-5413.205686 | en_US |
dc.identifier.endpage | 317 | en_US |
dc.identifier.issn | 0019-5413 | |
dc.identifier.issue | 3 | en_US |
dc.identifier.pmid | 28566784 | en_US |
dc.identifier.scopus | 2-s2.0-85019149120 | en_US |
dc.identifier.scopusquality | Q3 | en_US |
dc.identifier.startpage | 312 | en_US |
dc.identifier.uri | https://link.springer.com/article/10.4103/0019-5413.205686 | |
dc.identifier.uri | https://hdl.handle.net/11468/13791 | |
dc.identifier.volume | 51 | en_US |
dc.identifier.wos | WOS:000400995600010 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.institutionauthor | Kapukaya, Ahmet | |
dc.institutionauthor | Çaçan, Mehmet Akif | |
dc.institutionauthor | Atiç, Ramazan | |
dc.language.iso | en | en_US |
dc.publisher | Medknow Publications | en_US |
dc.relation.ispartof | Indian Journal of Orthopaedics | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Internal fixation | en_US |
dc.subject | Noncontact plate | en_US |
dc.subject | Open fracture MeSH terms | en_US |
dc.subject | Bone plates | en_US |
dc.subject | Open fractures | en_US |
dc.subject | Osteomyelitis | en_US |
dc.title | Management of open fractures using a noncontact locking plate as an internal fixator | en_US |
dc.type | Article | en_US |
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