PDF(Pubmed)
Abstract：
UNASSIGNED: External fixation is one of the most often utilized treatment options for complicated tibial diaphyseal fractures (TDF). The purpose of this study was to assess the efficacy of unilateral external fixators as primary and definitive therapy for complex TDF in a resource-limited setting.
UNASSIGNED: A retrospective study between June 2016 and March 2021 included 110 subjects with TDF who were treated with an external fixator as definitive fixation in hospitals affiliated with Ibb University. The patient\'s demographic characteristics, complications, and outcomes were gathered and analyzed. Factors associated with pin site infection were also investigated.
UNASSIGNED: The mean age was 42.1 ± 10.1 years, with 92.7% being male. Rural residents accounted for 22.7%. Smoking and diabetes mellitus were present in 27.3% and 30.0%, respectively. General complications occurred in 12.0%, with pulmonary embolism being the most common at 4.5%. Orthopedic complications included pin-track infections in 27.3% (30) and osteomyelitis in 1.8% (2). Pin site infections required medical treatment in 21 cases and external fixator changes in five. Two cases each needed several debridements for osteomyelitis and soft tissue. Full union occurred in 79.1% (87) over 23.1 ± 3.2 weeks and final alignment in 97.3% (107) over 34.8 ± 4.8 weeks. Malunions occurred in 1.8% (2), and one case had hypertrophic nonunion. Factors like rural residency, smoking, diabetes, open fractures, worst fracture grade (Gustilo and Anderson type C), and general complications occurrence significantly correlated with pin site infection (all p-values < 0.05).
UNASSIGNED: A unilateral external fixator as a primary and definitive treatment is a viable, simple, and effective option for TDF with a high success rate even in a resource-limited setting. In this study, residents in rural areas, smoking, diabetes, open fracture, worst fracture grade, and general complication occurrence were associated with pin site infection occurrence.
UNASSIGNED: A retrospective study between June 2016 and March 2021 included 110 subjects with TDF who were treated with an external fixator as definitive fixation in hospitals affiliated with Ibb University. The patient\'s demographic characteristics, complications, and outcomes were gathered and analyzed. Factors associated with pin site infection were also investigated.
UNASSIGNED: The mean age was 42.1 ± 10.1 years, with 92.7% being male. Rural residents accounted for 22.7%. Smoking and diabetes mellitus were present in 27.3% and 30.0%, respectively. General complications occurred in 12.0%, with pulmonary embolism being the most common at 4.5%. Orthopedic complications included pin-track infections in 27.3% (30) and osteomyelitis in 1.8% (2). Pin site infections required medical treatment in 21 cases and external fixator changes in five. Two cases each needed several debridements for osteomyelitis and soft tissue. Full union occurred in 79.1% (87) over 23.1 ± 3.2 weeks and final alignment in 97.3% (107) over 34.8 ± 4.8 weeks. Malunions occurred in 1.8% (2), and one case had hypertrophic nonunion. Factors like rural residency, smoking, diabetes, open fractures, worst fracture grade (Gustilo and Anderson type C), and general complications occurrence significantly correlated with pin site infection (all p-values < 0.05).
UNASSIGNED: A unilateral external fixator as a primary and definitive treatment is a viable, simple, and effective option for TDF with a high success rate even in a resource-limited setting. In this study, residents in rural areas, smoking, diabetes, open fracture, worst fracture grade, and general complication occurrence were associated with pin site infection occurrence.
摘要：
■外固定是复杂胫骨干骨折（TDF）最常用的治疗方法之一。这项研究的目的是评估单侧外固定器作为资源有限的复杂TDF的主要和确定性治疗的疗效。
■2016年6月至2021年3月的一项回顾性研究包括110名TDF受试者，他们在Ibb大学附属医院接受外固定器治疗作为确定性固定。病人的人口统计学特征,并发症,收集和分析结果。还研究了与针部位感染相关的因素。
■平均年龄为42.1±10.1岁，92.7%是男性。农村居民占22.7%。吸烟和糖尿病分别占27.3%和30.0%，分别。一般并发症发生率为12.0%,肺栓塞最常见，为4.5%。骨科并发症包括27.3％（30）的针迹感染和1.8％的骨髓炎（2）。销部位感染需要药物治疗21例，外固定器更换5例。2例骨髓炎和软组织各需要多次清创。在23.1±3.2周内，79.1％（87）发生完全愈合，在34.8±4.8周内，97.3％（107）发生最终对齐。在1.8%（2）中发生了马不通病，1例肥厚性骨不连。像农村居民这样的因素，吸烟,糖尿病,开放性骨折,最差骨折等级（Gustilo和AndersonC型），一般并发症的发生与针状部位感染显著相关(所有p值<0.05)。
■单侧外固定器作为主要和确定的治疗方法是可行的，简单,和TDF的有效选项，即使在资源有限的环境中也具有很高的成功率。在这项研究中,农村居民，吸烟,糖尿病,开放性骨折,最差断裂等级,一般并发症的发生与针脚部位感染的发生有关。
■2016年6月至2021年3月的一项回顾性研究包括110名TDF受试者，他们在Ibb大学附属医院接受外固定器治疗作为确定性固定。病人的人口统计学特征,并发症,收集和分析结果。还研究了与针部位感染相关的因素。
■平均年龄为42.1±10.1岁，92.7%是男性。农村居民占22.7%。吸烟和糖尿病分别占27.3%和30.0%，分别。一般并发症发生率为12.0%,肺栓塞最常见，为4.5%。骨科并发症包括27.3％（30）的针迹感染和1.8％的骨髓炎（2）。销部位感染需要药物治疗21例，外固定器更换5例。2例骨髓炎和软组织各需要多次清创。在23.1±3.2周内，79.1％（87）发生完全愈合，在34.8±4.8周内，97.3％（107）发生最终对齐。在1.8%（2）中发生了马不通病，1例肥厚性骨不连。像农村居民这样的因素，吸烟,糖尿病,开放性骨折,最差骨折等级（Gustilo和AndersonC型），一般并发症的发生与针状部位感染显著相关(所有p值<0.05)。
■单侧外固定器作为主要和确定的治疗方法是可行的，简单,和TDF的有效选项，即使在资源有限的环境中也具有很高的成功率。在这项研究中,农村居民，吸烟,糖尿病,开放性骨折,最差断裂等级,一般并发症的发生与针脚部位感染的发生有关。
