Results of application of external fixation in treating closed lower-leg fractures
Authors: Lazić Mladenko , Vidić Saša 
Published: September 2013

&lt;p&gt;&lt;strong&gt;&lt;span id=&quot;page7R_mcid512&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 392.462px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.16849);&quot; role=&quot;presentation&quot;&gt;Introduction&lt;/span&gt;&lt;/span&gt;&lt;/strong&gt;&lt;span id=&quot;page7R_mcid513&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 214.391px; top: 392.462px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11316);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; Lower-leg fractures represent the most often fractures of long bones. The most frequent &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid514&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 412.462px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12475);&quot; role=&quot;presentation&quot;&gt;fractures are those in middle-aged patients when their work and life activities are very intensive. The &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid515&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 432.462px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09877);&quot; role=&quot;presentation&quot;&gt;aim of the study was to determine the result of the treatment of closed lower-leg fractures with external &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid516&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 452.462px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07587);&quot; role=&quot;presentation&quot;&gt;fixation.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid517&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 481.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.15857);&quot; role=&quot;presentation&quot;&gt;Methods&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid518&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 185.688px; top: 481.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11322);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; These patients in whom we did not get a satisfactory orthopedic reposition, and whose trea&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid519&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 501.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10745);&quot; role=&quot;presentation&quot;&gt;tment could not be continued non-surgically, were prepared for surgical treatment. After a pre-surgical &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid520&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 521.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07821);&quot; role=&quot;presentation&quot;&gt;preparation, blood reposition was done and external fixation was made in a typical way. External fixation &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid521&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 541.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08889);&quot; role=&quot;presentation&quot;&gt;was taken off 4 to 8 weeks later and then a Patellar Tendon Bearing (PTB) cast was placed until fracture &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid522&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 561.911px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10013);&quot; role=&quot;presentation&quot;&gt;was healed. Healing was verified by a clinical and radiological examination.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid523&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 591.36px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.15446);&quot; role=&quot;presentation&quot;&gt;Results&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid524&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 174.818px; top: 591.36px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.13787);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; This method was applied in 68 patients with closed lower-leg fracture, out of a total of 124 &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid525&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 611.36px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10661);&quot; role=&quot;presentation&quot;&gt;fractures. After a four-month medical treatment, we had 4 pseudoarthrosis of the Tibia whereas 64 fra&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid526&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 631.36px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.1056);&quot; role=&quot;presentation&quot;&gt;ctures healed regularly. Pseudoarthrosis was treated surgically with fibula osteotomy and then with the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid527&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 651.36px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09121);&quot; role=&quot;presentation&quot;&gt;application of PTB cast for walking after they healed.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid528&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 680.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.14596);&quot; role=&quot;presentation&quot;&gt;Conclusion&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid529&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 205.122px; top: 680.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12628);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; Once the cast immobilization was removed, a rehabilitation treatment was implemented &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page7R_mcid530&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 700.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10744);&quot; role=&quot;presentation&quot;&gt;after which the patients had a satisfying function of a knee and an ankle joint without leg shortening.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;