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[A.L.J. external fixation. Indications and results in 59 cases]
E Borot1, D Saragaglia, Y Tourne
1Service d'Orthopédie - Traumatologie, Grenoble.
Journal De Chirurgie
|August 1, 1990
Summary
External fixation using A.L.J. devices achieved an 86.5% healing rate in 52 trauma and orthopedic cases. Bone grafting improved outcomes for complex fractures and pseudarthroses, with failures occurring in non-grafted cases.
Area of Science:
- Orthopedic Surgery
- Traumatology
Context:
- This study evaluates the efficacy of A.L.J. type external fixation devices.
- The devices were used between November 1984 and November 1988 in 57 patients (59 cases).
- The patient cohort included recent trauma, chronic trauma, and orthopedic cases.
Purpose:
- To assess the outcomes of external fixation with A.L.J. devices in managing complex fractures, soft tissue lesions, and orthopedic conditions.
- To determine the success rates and identify factors influencing healing in treated cases.
Summary:
- A total of 59 cases were treated, with 52 available for follow-up.
- The overall healing rate was 86.5% (45 out of 52 cases).
- Soft tissue lesions healed within 2-4 months. Bony lesions showed varied healing rates, with 54% healing primarily and 27% requiring bone grafts. All 6 tibiotarsal arthrodesis cases healed successfully. Failures (7 cases) were associated with the absence of bone grafting.
Impact:
- External fixation with A.L.J. devices demonstrates a high success rate, particularly when combined with bone grafting for complex bony injuries.
- The findings highlight the advantages and disadvantages of this external fixation method, informing clinical decision-making.
- This approach offers a viable option for stabilizing severe injuries and facilitating bone healing.