Management of shotgun-induced fractures of the humerus with Ilizarov external fixator

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dc.contributor.authorOkcu G.
dc.contributor.authorAktuglu K.
dc.date.accessioned2024-07-22T08:24:22Z
dc.date.available2024-07-22T08:24:22Z
dc.date.issued2004
dc.description.abstractWe retrospectively reviewed 11 shotgun-induced open humeral fractures treated with immediate application of Ilizarov type ring external fixation. Eight patients had grade III A and three had grade III B open fractures. No patient had associated neurovascular injury. All fractures were stabilized with Ilizarov external fixator immediately after meticulous debridement and irrigation under emergent conditions. Complete bony union occurred in all patients in 14-44 weeks (mean, 21 weeks). One patient required a second intervention to adjust the external fixator rings. Two patients required a rotational fasciocutaneous flap to handle the soft tissue coverage problem. Superficial pin tract infection was present in eight patients; however none of them had deep infection or osteomyelitis. A good to excellent result was achieved in 10 patients according to the rating system of Smith and Cooney. Immediate Ilizarov external fixation is a safe method of obtaining a functional limb in the treatment of shotgun-induced open humeral fractures with severe soft tissue damage.
dc.identifier.DOI-ID10.1007/s10195-004-0050-9
dc.identifier.issn15909921
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19949
dc.language.isoEnglish
dc.subjectadolescent
dc.subjectadult
dc.subjectblood vessel injury
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdebridement
dc.subjectdisease severity
dc.subjectexternal fixator
dc.subjectfasciocutaneous flap
dc.subjectfemale
dc.subjectfracture external fixation
dc.subjectfracture healing
dc.subjectgunshot injury
dc.subjecthuman
dc.subjecthuman tissue
dc.subjecthumerus fracture
dc.subjectIlizarov technique
dc.subjectintramedullary nailing
dc.subjectmale
dc.subjectopen fracture
dc.subjectosteomyelitis
dc.subjectpriority journal
dc.subjectrating scale
dc.subjectretrospective study
dc.subjectreview
dc.subjectrisk assessment
dc.subjectsoft tissue injury
dc.subjectsurgical technique
dc.subjecttreatment outcome
dc.subjectwound infection
dc.subjectwound irrigation
dc.titleManagement of shotgun-induced fractures of the humerus with Ilizarov external fixator
dc.typeReview

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