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Versorgung der kindlichen offenen Unterschenkelfraktur mit dem Taylor-spatial-frame-Fixateur

Operative treatment of pediatric open fractures of the lower limb using the Taylor spatial frame fixator

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Zusammenfassung

Das operative Vorgehen bei offenen Unterschenkelfrakturen erfordert auf Grund des prätibial dünnen Weichteilmantels ein konsequentes Handeln, um Weichteilkomplikationen zu vermeiden. Hierbei ist das Prinzip der akuten Verkürzung im Frakturbereich zum direkten Weichteilverschluss ein selten praktiziertes Verfahren, da die Korrektur der sekundären Fehlstellung schwierig ist. Anhand einer kindlichen, offenen Unterschenkelfraktur (Gustilo-Klassifikation Grad IIIa) werden die Möglichkeiten der sekundären Korrektur nach primärer angulärer Verkürzung mit dem Taylor Spatial Frame (TSF) dargestellt.

Abstract

The operative management of open fractures of the lower limb requires a consistent treatment to avoid soft tissue complications. Acute angular shortening of the fracture enabling primary soft tissue closure is still an uncommon operative technique because of difficulties in correcting the secondary deformity. The case of a pediatric open fracture of the lower limb (Gustilo type IIIa) is described, which was treated with acute angular shortening followed by gradual correction using the Taylor spatial frame (TSF).

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Literatur

  1. Al-Sayyad MJ (2006) Taylor spatial frame in the treatment of pediatric and adolescent tibial shaft fractures. J Pediatr Orthop 26:164–170

    PubMed  Google Scholar 

  2. Atkins RM, Sudhakar JE, Porteous AJ (1998) Distraction osteogenesis through high energy fractures. Injury 29:535–537

    Article  CAS  PubMed  Google Scholar 

  3. Bartlett CS 3rd, Weiner LS, Yang EC (1997) Treatment of type II and type III open tibia fractures in children. J Orthop Trauma 11:357–362

    Article  PubMed  Google Scholar 

  4. Cullen MC, Roy DR, Crawford AH et al (1996) Open fracture of the tibia in children. J Bone Joint Surg [Am] 78:1039–1047

    Google Scholar 

  5. Eidelman M, Katzman A (2008) Treatment of complex tibial fractures in children with the taylor spatial frame. Orthopedics 31:992

    Google Scholar 

  6. Gopal S, Majumder S, Batchelor AG et al (2000) Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. J Bone Joint Surg [Br] 82:959–966

    Google Scholar 

  7. Gordon JE, Schoenecker PL, Oda JE et al (2003) A comparison of monolateral and circular external fixation of unstable diaphyseal tibial fractures in children. J Pediatr Orthop B 12:338–345

    Article  PubMed  Google Scholar 

  8. Gulsen M, Ozkan C (2008) Angular shortening and delayed gradual distraction for the treatment of asymmetrical bone and soft tissue defects of tibia: A case series. J Trauma 15 [Epub ahead of print]

  9. Kubiak EN, Egol KA, Scher D et al (2005) Operative treatment of tibial fractures in children: are elastic stable intramedullary nails an improvement over external fixation? J Bone Joint Surg [Am] 87:1761–1768

    Google Scholar 

  10. Lerner A, Fodor L, Soudry M et al (2004) Acute shortening: modular treatment modality for severe combined bone and soft tissue loss of the extremities. J Trauma 57:603–608

    Article  PubMed  Google Scholar 

  11. Möllenhoff G, Josten C, Muhr G (1997) Callotaxis – osteogenesis by stretching – a conservative possibility for restoring leg length after post-traumatic primary tibial shortening? Zentralbl Chir 122:970–973

    PubMed  Google Scholar 

  12. Nho SJ, Helfet DL, Rozbruch SR (2006) Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame. J Orthop Trauma 20:419–424

    Article  PubMed  Google Scholar 

  13. O’Brien T, Weisman DS, Ronchetti P et al (2004) Flexible titanium nailing for the treatment of the unstable pediatric tibial fracture. J Pediatr Orthop 24:601–609

    Google Scholar 

  14. Seybold D, Geßmann J, Ozokyay L et al (2008) The Taylor spatial frame: correction of posttraumatic deformities of the tibia and hindfoot. Unfallchirurg 111:985–996

    Article  CAS  PubMed  Google Scholar 

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Geßmann, J., Baecker, H., Graf, M. et al. Versorgung der kindlichen offenen Unterschenkelfraktur mit dem Taylor-spatial-frame-Fixateur. Unfallchirurg 113, 413–417 (2010). https://doi.org/10.1007/s00113-009-1720-0

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