Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion

A retrospective study was carried out from January 1997 to January 1999 to look into the rate of nonunion of severe open tibial fractures treated with external fixators. This study included 22 patients with 22 severe open diaphyseal tibial fractures of grade 11, lIlA and 111B seen within 1 years per...

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Main Author:	Ab. Ghani, Sanusi Azni
Format:	Thesis
Language:	English
Published:	2000
Subjects:	RD701-811 Orthopedic surgery
Online Access:	http://eprints.usm.my/37567/1/dr_sanusi_azni_ab.ghani-RD701.pdf
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id	my-usm-ep.37567
record_format	uketd_dc
spelling	my-usm-ep.375672019-04-12T05:27:05Z Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion 2000-05 Ab. Ghani, Sanusi Azni RD701-811 Orthopedic surgery A retrospective study was carried out from January 1997 to January 1999 to look into the rate of nonunion of severe open tibial fractures treated with external fixators. This study included 22 patients with 22 severe open diaphyseal tibial fractures of grade 11, lIlA and 111B seen within 1 years period in HUSM (Hospital Universiti Sains Malaysia), Kubang Kerian, Kelantan. The patients age ranged from 19 to 73 years (mean age of38.2 years). There were 19 males and 3 females. The mechanism of injury included 19 motorcycle accidents, one pedestrian-motorcycle accident, one motorvehicle accident and one logging injury. Two fractures were at the proximal third, eleven were middle third, eight were distal third and one was segmental. Clinical symptoms and plain radiographes were used to evaluate the union rate. The mean time interval from injury to application of external fixator was 18 hours. The mean duration of patient on external fixator was 66 days. The union rates was 13 weeks(6 patients). The duration on external fixator and time interval from injury to application of an external fixator also did not influence the union rate. Proximal third fracture healed faster than lower or middle third, however it was not statistically significant. Grade 11 Open tibial fracture healed faster than grade 111 A and grade 111 B. Highly comminuted fracture healed slower than simple fracture (Winquist 4 :28 weeks), however it was also not statistically significant. 2000-05 Thesis http://eprints.usm.my/37567/ http://eprints.usm.my/37567/1/dr_sanusi_azni_ab.ghani-RD701.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RD701-811 Orthopedic surgery
spellingShingle	RD701-811 Orthopedic surgery Ab. Ghani, Sanusi Azni Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
description	A retrospective study was carried out from January 1997 to January 1999 to look into the rate of nonunion of severe open tibial fractures treated with external fixators. This study included 22 patients with 22 severe open diaphyseal tibial fractures of grade 11, lIlA and 111B seen within 1 years period in HUSM (Hospital Universiti Sains Malaysia), Kubang Kerian, Kelantan. The patients age ranged from 19 to 73 years (mean age of38.2 years). There were 19 males and 3 females. The mechanism of injury included 19 motorcycle accidents, one pedestrian-motorcycle accident, one motorvehicle accident and one logging injury. Two fractures were at the proximal third, eleven were middle third, eight were distal third and one was segmental. Clinical symptoms and plain radiographes were used to evaluate the union rate. The mean time interval from injury to application of external fixator was 18 hours. The mean duration of patient on external fixator was 66 days. The union rates was 13 weeks(6 patients). The duration on external fixator and time interval from injury to application of an external fixator also did not influence the union rate. Proximal third fracture healed faster than lower or middle third, however it was not statistically significant. Grade 11 Open tibial fracture healed faster than grade 111 A and grade 111 B. Highly comminuted fracture healed slower than simple fracture (Winquist 4 :28 weeks), however it was also not statistically significant.
format	Thesis
qualification_level	Master's degree
author	Ab. Ghani, Sanusi Azni
author_facet	Ab. Ghani, Sanusi Azni
author_sort	Ab. Ghani, Sanusi Azni
title	Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
title_short	Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
title_full	Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
title_fullStr	Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
title_full_unstemmed	Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion
title_sort	severe open fracture tibiathe relationship between external fixation and nonunion
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2000
url	http://eprints.usm.my/37567/1/dr_sanusi_azni_ab.ghani-RD701.pdf
_version_	1747820667067170816

Severe Open Fracture Tibiathe Relationship between External Fixation and Nonunion

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