Evidence map›Paper›PMID 29798646›Full record

ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2017

[Safety evaluation of secondary conversion from external fixation to internal fixation for open tibia fractures].

Xi Liu, Shiqiang Cen, Zhou Xiang, Gang Zhong, Min Yi, Yue Fang, Lei Liu, Fuguo Huang

Abstract read
In one paragraph

Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xi LiuDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Shiqiang CenDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.ahsir7201@126.com.
Zhou XiangDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Gang ZhongDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Min YiDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Yue FangDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Lei LiuDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Fuguo HuangDepartment of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the safety of conversion from external fixation to internal fixation for open tibia fractures. Methods: Between January 2010 and December 2014, 94 patients (98 limbs) with open tibia fractures were initially treated with external fixators at the first stage, and the clinical data were retrospectively analyzed. In 29 cases (31 limbs), the external fixators were changed to internal fixation for discomfort, pin tract response, Schantz pin loosening, delayed union or non-union after complete wound healing and normal or close to normal levels of erythrocyte sedimentation rate (ESR), C reactive protein (CRP), and the leucocyte count as well as the neutrophil ratio (trial group); in 65 cases (67 limbs), the external fixators were used as the ultimate treatment in the control group. There was no significant difference in gender, age, side of the limbs, interval from injury to the first debridement, initial pathogenic bacteria, the limbs that skin grafting or flap transferring for skin and soft tissue defect between the two groups ( Results: The overall incidences of infection for the trial and control groups were 9.7% (3/31) and 9.0% (6/67) respectively, showing no significant difference ( Conclusion: Conversion from external fixation to internal fixation for open tibia fractures is safe in most cases. However, for open tibia fractures with extensive and severe soft tissue injury, especially Gustilo type III patients who achieved wound heal after flap transfer or skin grafting, the choice of secondary conversion to internal fixation should carried out cautiously. Careful pre-operative evaluation of soft tissue status, cautious choice of fixation instrument and meticulous intra-operative soft tissue protection are essential for its safety.

Indexed as

External FixatorsInternal FixatorsFemaleFracture HealingFractures, OpenHumansMaleRetrospective StudiesStaphylococcal InfectionsStaphylococcus aureusTibiaTibial FracturesTreatment OutcomeC reactive proteinerythrocyte sedimentation rateexternal fixatorinfectioninternal fixationOpen tibial fracture

Identifiers

PMID29798646
PMCPMC8498309

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.