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External skeletal fixation in severe limb trauma.

R P Jackson, R R Jacobs, J R Neff

    The Journal of Trauma
    |March 1, 1978
    PubMed
    Summary
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    External skeletal fixation effectively managed severe limb injuries, including open fractures and unstable fractures. This technique facilitated wound care and limb salvage, with no amputations or deep infections reported.

    Area of Science:

    • Orthopedic surgery
    • Trauma management
    • Limb reconstruction

    Background:

    • Severe limb injuries pose significant challenges in management.
    • External skeletal fixation offers a versatile approach for complex fractures.

    Purpose of the Study:

    • To evaluate the efficacy of external skeletal fixation in managing severe limb injuries.
    • To assess outcomes in patients with extensively open or grossly unstable fractures.

    Main Methods:

    • Retrospective review of 10 patients with 12 severe limb injuries treated with external skeletal fixation over 2 years.
    • Fractures categorized into extensively open (Group A) and grossly unstable (Group B).
    • Focus on wound management, infection prevention, soft-tissue support, and fracture alignment.

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    Main Results:

    • No amputations, deep infections, or deaths occurred in the study cohort.
    • External fixation facilitated wound care and closure in open fractures, minimizing tissue loss.
    • Delayed unions were common; two malunions and one nonunion were observed.

    Conclusions:

    • External skeletal fixation is a valuable tool for managing severe limb injuries, achieving treatment goals of limb salvage and wound management.
    • The technique proved effective in both extensively open and unstable fracture patterns.
    • While delayed unions can occur, external fixation provides essential stability and support for complex trauma.