Management of high-energy tibial shaft fractures using the hexapod circular external fixator
Abstract Background The hexapod external fixator (HEF) is increasingly used for high-energy tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. The purpose of this study was to evaluate the clinical effectiveness of the HEF for definitive ma...
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doaj-826696e4b1714907b781b9c38bfd6a812021-02-21T12:22:29ZengBMCBMC Surgery1471-24822021-02-012111910.1186/s12893-021-01106-5Management of high-energy tibial shaft fractures using the hexapod circular external fixatorYanshi Liu0Jialin Liu1Maimaiaili Yushan2Zhenhui Liu3Tao Zhang4He Ma5Chuang Ma6Aihemaitijiang Yusufu7Department of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Prosthodontics, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Orthopaedics and Trauma, Tianjin HospitalDepartment of Orthopaedics and Trauma, Tianjin HospitalDepartment of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical UniversityDepartment of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical UniversityAbstract Background The hexapod external fixator (HEF) is increasingly used for high-energy tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. The purpose of this study was to evaluate the clinical effectiveness of the HEF for definitive management in patients with high-energy tibial shaft fractures. Methods The study was conducted on 34 patients with tibial shaft fractures who were admitted or referred to our institution and consented to HEF treatment from Jan 2016 to June 2019, including 27 males and 7 females with a mean age of 39 years (range 18 to 65 years). Patients' clinical and radiological data, and the final clinical outcomes at a minimum of 12 months follow-up were collected and retrospectively analyzed. All complications were documented according to Paley’s classification. The clinical outcomes were evaluated using the Association for the Study and Application of the Method of Ilizarov criteria (ASAMI) at the last clinical visit. Results All patients remained in the HEF for a mean of 26 weeks (range 15 to 52 weeks) and acquired complete bone union. The satisfactory alignment was achieved in all patients, and all the patients were able to perform daily activities with no difficulty at the last clinical visit. Complications included pin tract infection (44%), delayed union (6%), nonunion (3%), and joint stiffness (3%). The ASAMI bony result was excellent in 31 patients and good in 3. The ASAMI functional result was excellent in 27 patients, good in 6, and fair in 1. Conclusions Definitive management using the hexapod external fixator is an alternative and effective method for high-energy tibial shaft fractures, including technical advantages of early trauma-control, the versatility of achieving excellent alignment, and the continuity of device until bone union.https://doi.org/10.1186/s12893-021-01106-5External fixationHexapod external fixatorTibial shaft fracturesTrauma-control |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yanshi Liu Jialin Liu Maimaiaili Yushan Zhenhui Liu Tao Zhang He Ma Chuang Ma Aihemaitijiang Yusufu |
spellingShingle |
Yanshi Liu Jialin Liu Maimaiaili Yushan Zhenhui Liu Tao Zhang He Ma Chuang Ma Aihemaitijiang Yusufu Management of high-energy tibial shaft fractures using the hexapod circular external fixator BMC Surgery External fixation Hexapod external fixator Tibial shaft fractures Trauma-control |
author_facet |
Yanshi Liu Jialin Liu Maimaiaili Yushan Zhenhui Liu Tao Zhang He Ma Chuang Ma Aihemaitijiang Yusufu |
author_sort |
Yanshi Liu |
title |
Management of high-energy tibial shaft fractures using the hexapod circular external fixator |
title_short |
Management of high-energy tibial shaft fractures using the hexapod circular external fixator |
title_full |
Management of high-energy tibial shaft fractures using the hexapod circular external fixator |
title_fullStr |
Management of high-energy tibial shaft fractures using the hexapod circular external fixator |
title_full_unstemmed |
Management of high-energy tibial shaft fractures using the hexapod circular external fixator |
title_sort |
management of high-energy tibial shaft fractures using the hexapod circular external fixator |
publisher |
BMC |
series |
BMC Surgery |
issn |
1471-2482 |
publishDate |
2021-02-01 |
description |
Abstract Background The hexapod external fixator (HEF) is increasingly used for high-energy tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. The purpose of this study was to evaluate the clinical effectiveness of the HEF for definitive management in patients with high-energy tibial shaft fractures. Methods The study was conducted on 34 patients with tibial shaft fractures who were admitted or referred to our institution and consented to HEF treatment from Jan 2016 to June 2019, including 27 males and 7 females with a mean age of 39 years (range 18 to 65 years). Patients' clinical and radiological data, and the final clinical outcomes at a minimum of 12 months follow-up were collected and retrospectively analyzed. All complications were documented according to Paley’s classification. The clinical outcomes were evaluated using the Association for the Study and Application of the Method of Ilizarov criteria (ASAMI) at the last clinical visit. Results All patients remained in the HEF for a mean of 26 weeks (range 15 to 52 weeks) and acquired complete bone union. The satisfactory alignment was achieved in all patients, and all the patients were able to perform daily activities with no difficulty at the last clinical visit. Complications included pin tract infection (44%), delayed union (6%), nonunion (3%), and joint stiffness (3%). The ASAMI bony result was excellent in 31 patients and good in 3. The ASAMI functional result was excellent in 27 patients, good in 6, and fair in 1. Conclusions Definitive management using the hexapod external fixator is an alternative and effective method for high-energy tibial shaft fractures, including technical advantages of early trauma-control, the versatility of achieving excellent alignment, and the continuity of device until bone union. |
topic |
External fixation Hexapod external fixator Tibial shaft fractures Trauma-control |
url |
https://doi.org/10.1186/s12893-021-01106-5 |
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