Complication rate of long bone fractures treated by early stable internal and trans-osseous osteosynthesis

D. I. Faddeev

doi:10.17816/vto105698

N.N. Priorov Journal of Traumatology and Orthopedics ›› 1997, Vol. 4 ›› Issue (1) : 18 -23. DOI: 10.17816/vto105698

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Complication rate of long bone fractures treated by early stable internal and trans-osseous osteosynthesis

D. I. Faddeev

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Abstract

Complications occurring in 94 (24.1%) of 390 operative osteisynthesis were analysed. There were 284 patients with composite (115) and combined fractures of long bones. Complications occurred during recovery in 54 (23.6%) cases of transosseous osteosynthesis and in 40 (24.8%) cases of internal osteosynthesis. Intra-operative complications occurred in 4 cases due to technical errors, e.g. further comminution or vascular injury. Postoperative complications occurred in 7 cases due to inappropriate choice of fixation device, e.g. loss of reduction or fication failure. Postoperative infections predominantly involved the femur and tibia (60.6%). The final outcome was not influenced by local pin tract infection involving either skin, bone or both. There were 15 cases with general complications, e.g. pneumonia, thromboembolism, and decubiti; and 12 with local complications, e.g. toxidermia and marginal wound necrosis. All general complications were associated with restricted patient mobility and were observed 3 times more frequently (6.2%) with internal osteosynthesis than with transosseous osteosynthesis (2.2%). Careful attention to technique will help minimize the complication rate of osteosynthesis.

Keywords

complications / treatment of multiple and associated fractures / long bones / method of early stable internal and transosseous osteosynthesis / osteosynthesis

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D. I. Faddeev. Complication rate of long bone fractures treated by early stable internal and trans-osseous osteosynthesis. N.N. Priorov Journal of Traumatology and Orthopedics, 1997, 4(1): 18-23 DOI:10.17816/vto105698

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References

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