Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy

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dc.authorid0000-0003-1259-6668
dc.authorid0000-0003-3976-9530
dc.authorid0000-0001-6742-8464
dc.contributor.authorKara, Adnan
dc.contributor.authorÇelik, Haluk
dc.contributor.authorŞeker, Ali
dc.contributor.authorKarakoyun, Özgür
dc.contributor.authorArmağan, Raffi
dc.contributor.authorKuyucu, Ersin
dc.contributor.authorErdil, Mehmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:01:25Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:01:25Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000374830200002
dc.descriptionPubMed ID: 27117827
dc.description.abstractBackground: Developed for the treatment of deformity correction, computer-assisted circular external fixators in recent years have also been used for fracture fixation. In this study, we aimed to present the efficacy of computer-assisted circular external fixator use in open long bone fractures with our new technique. Methods: Between February 2013 and June 2014, 14 patients (mean age 24.5 (range 20-32)) with open tibial or femoral open fractures were treated with the computer-assisted fixation system (Spider Frame-Tasarim Medikal, Istanbul, Turkey). In all patients, appropriate positions of the rings and Schanz screws were determined by measurements on preoperative radiographs. The length of the Schanz screws were determined by depth measure marks on drill bits. Obvious deformities were corrected intraoperatively by manipulations, but residual deformities were corrected by a software program (Spiderfix, Tasarim Medikal, Istanbul, Turkey). We did not use fluoroscopy during the procedures. Results: Ten patients had tibia diaphyseal and four patients had femoral diaphyseal fractures. Mean surgical time was 24.2 (range 18-28) min. Average follow-up time was 10.2 (range 9-14) months. Mean time for deformity correction was 3.1 (2-5) days. Complete union was observed in all patients with a mean of 4.9 (range 3-9) months. There were two grade 2 pin site infections treated with oral antibiotherapy and pin site care. We did not detect any Schanz screw breakage, loosening, deep infection, nonunion, or malunion. Conclusions: Computer-assisted external fixation systems can be used in the treatment of open fractures, and they provide the chance for acute or gradual correction. Preoperative planning and assistant devices with depth measures may decrease the procedure time and the need for fluoroscopy use.
dc.identifier.citationKara, A., Çelik, H., Şeker, A., Karakoyun, Ö., Armağan, R., Kuyucu, E. ... Erdil, M. (2016). Treatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy. Journal Of Orthopaedic Surgery And Research, 11. https://dx.doi.org/10.1186/s13018-016-0379-9
dc.identifier.doi10.1186/s13018-016-0379-9
dc.identifier.issn1749-799X
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://dx.doi.org/10.1186/s13018-016-0379-9
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3256
dc.identifier.volume11
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBMC
dc.relation.ispartofJournal Of Orthopaedic Surgery And Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectOpen Fracture Treatment
dc.subjectCircular External Fixators
dc.subjectFluoroscopy
dc.subjectComputer Assisted Circular External Fixators
dc.titleTreatment of open fractures with a computer-assisted external fixator system without the use of fluoroscopy
dc.typeArticle

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