Document Detail

Pelvifemoral external fixation for the treatment of open fractures of the proximal femur caused by firearms.
MedLine Citation:
PMID:  11915457     Owner:  NLM     Status:  MEDLINE    
Seventeen patients with open fractures of the upper third of the femur were treated using a pelvifemoral external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Sciatic nerve injury was present in five (29.4%); abdominal viscera and thoracic wall injuries were present in two patients (11.8%). There were no major arterial injuries. Full weight bearing was allowed after clinical and radiological bone healing (average 11.5 months). Chronic osteitis with fistula and sequestra developed in two (11.8%) patients. There were no nonunions and no refractures. Minor painless limitation of hip motion persisted in all patients. Upper-third femoral open fractures due to firearms are a unique type of open fractures. They are usually highly comminuted; therefore, stable fixation is difficult or impossible to achieve using external fixation with transfixation of the fracture site. On the other hand, the risk of infection is high following intramedullary nailing. Pelvifemoral external fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early patient mobilization.
D M Miric; M Z Bumbasirevic; K K Senohradski; Z P Djordjevic
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  68     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-03-27     Completed Date:  2002-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  37-41     Citation Subset:  IM    
Institute of Radiology, Military Medical Academy, Belgrade, Yugoslavia. midra@eunet.yu
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MeSH Terms
External Fixators*
Femoral Fractures / pathology,  surgery*
Foreign Bodies
Fractures, Open / pathology,  surgery*
Range of Motion, Articular
Sciatic Nerve / injuries
Treatment Outcome
Wounds, Gunshot / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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