개방성 또는 분쇄상 경골 골절의 수술적 치료 : Ilizarov 체외고정기를 이용한 치료 Using Ilizarov external fixator = Surgical Treatment of Open or Comminuted Tibia Fractures

다국어 초록 (Multilingual Abstract)

Various methods have been used in the treatment of tibial fractures in adults. In recent years, generally accepted two surgical methods are compression plate with screw fixation and intramedullary nailing for closed fracture, and external fixator or intramedullary nail for open fracture. There is still controversies in the method of surgical treatment for open and severe comminuted tibia fracture according to there degree of comminution and extent of soft tissue injury. So we tried to evaluate the treatment result that fractures could not be fixed with other device except Ilzarov external fixators. We retrospectively analyzed fifteen tibia fracture patients from January 1991 to December 1994 with mean follow up 22 months.
Despite of some complications, we could get bony union between 29 and 34 weeks. So, we recommended the Ilizarow external fixator fixations is the last method of fixation is the case of other fixation device could not be applied.