PMID: 1199721Nov 1, 1975Paper

150 open fractures of the tibial shaft--the relation between necrosis of the skin and delayed union

Acta Orthopaedica Scandinavica
P A TonnesenM Pers

Abstract

In 150 open fractures of the tibial shaft a close relationship between the presence of skin necrosis and delayed union was found. The incidence of skin necrosis rose with the severity of trauma. It was high (22 per cent) among the fractures that were treated conservatively, but even higher (41 per cent) among those treated with primary osteosynthesis. Neither conventional conservative treatment nor osteosynthesis seems to be satisfactory as a primary treatment of the most severe cases. It is instead suggested that external fixation by the Hoffmann-Vidal technique should be combined with transposition of viable muscle tissue across denuded fractured bone areas according to the method of Ger.

References

Jan 1, 1973·Acta Orthopaedica Scandinavica·S Olerud
Jan 1, 1973·Acta Orthopaedica Scandinavica·T Barfred, T Reumert
Oct 1, 1973·British Journal of Plastic Surgery·M Pers, S Medgyesi
Oct 1, 1971·Injury·J H Hicks
May 1, 1959·The Journal of Bone and Joint Surgery. British Volume·K P VELISKAKIS
Jan 1, 1960·Acta Orthopaedica Scandinavica·J CHARNLEY

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Citations

Jan 1, 1988·Archives of Orthopaedic and Trauma Surgery·A NesbakkenA Walløe
Apr 6, 2012·Der Unfallchirurg·A Moghaddam-AlvandiC G Wölfl
Nov 4, 2009·Archives of Orthopaedic and Trauma Surgery·Arash MoghaddamGerald Zimmermann
Jun 6, 2000·Advanced Drug Delivery Reviews·R J LevyJ Bonadio
Feb 4, 1982·The New England Journal of Medicine·J W MayF N Lukash
Dec 1, 1982·Acta Orthopaedica Scandinavica·O Böstman, A Hänninen
Oct 1, 1983·Acta Orthopaedica Scandinavica·P Riegels-NielsenM Pers
May 1, 2007·Acta Orthopaedica. Supplementum·Jukka Ristiniemi
Oct 1, 1992·Acta Orthopaedica Scandinavica·R HammerL Ostrup
Apr 2, 1999·Clinical Orthopaedics and Related Research·G Cierny
Jan 26, 1999·Clinical Orthopaedics and Related Research·R A HaydaJ L Esterhai
Jan 1, 1985·Scandinavian Journal of Plastic and Reconstructive Surgery·P B ThomsenV Damholt

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