![]() There were 52 complications in 24 patients, for a complication rate per patient of 2.08. ![]() Pin site infections were present in 10.7% of the pin sites. Functional assessment scores were excellent in 19, good in 4, and fair in 1 patient. The bone assessment results were excellent in 21 and good in 3 patients. Results were evaluated using the Paley bone and functional assessment scores. The mean time in external fixation was 7.1 months (range 3-10), and the average external fixator index was 1.4 months/cm. Mean bone healing time was 7.5 months (range 4-11). Mean follow-up period was 30 months (range 18-60). Leg length discrepancy was overcome by lengthening at the same time through a corticotomy at a proximal or distal level depending on fracture localization, until there was equalization of leg lengths. Gradual shortening at a rate of 2 mm/d was done for patients who had bone defects more than 3 cm. The mean soft tissue defect was 2.5 x 3.5 (1 x 2-10 x 5) cm.Īcute shortening at the fracture site was done for patients with bone defects up to 3 cm to achieve apposition of bone ends. The mean bone defect was 5 cm (range 3-8.5). Mean age of the patients was 30.6 years (range 18-53). Patients were selected for bifocal compression-distraction (shortening and lengthening) who had open tibia fractures with bone and soft-tissue loss and a Mangled Extremity Severe Score of 6 and below indicating good leg viability.īifocal compression-distraction osteogenesis using the Ilizarov type circular external fixator was applied to 24 patients with 14 grade IIIA and 10 grade IIIB open tibia fractures with bone and soft-tissue loss. To evaluate the results of bifocal compression-distraction method for the acute treatment of open tibia fractures with bone and soft-tissue loss. ![]()
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