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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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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DOI: https://doi.org/10.1007/s00113-009-1720-0