Treatment of Gustilo grade III B supracondylar fractures of the femur with Ilizarov external fixation.

Twenty patients who had been treated with Ilizarov external fixation for a Gustilo grade IIIB supracondylar fracture of the femur were functionally assessed 12 to 52 months after treatment. Fourteen fractures were type C3 and 6 were type C2 according to the AO classification. Fractures were united at an average of 39 +/- 9 weeks. There was a final knee extension deficit of 5 degrees to 10 degrees (12.2 degrees +/- 3.5 degrees) and flexion reached 110 degrees +/- 10 degrees in type C2 and 73 degrees +/- 36 degrees in C3 supracondylar fractures. Forty percent of the supracondylar fractures had 4cm shortening and 40% had 1.5 cm. Pin-track infection occurred in 21%. Half of the C3 fracture cases had problems with pain on walking, needed support and had pain at rest, whereas no patients had difficulty getting out of a chair, going up and down stairs. However, all C2 type fractures had problems with all types of function.

[1]  A. Lerner,et al.  Acute shortening: modular treatment modality for severe combined bone and soft tissue loss of the extremities. , 2004, The Journal of trauma.

[2]  A. Ateşalp,et al.  High-Velocity Gunshot Wounds of the Tibial Plafond Managed With Ilizarov External Fixation: A Report of 13 Cases , 2003, Journal of orthopaedic trauma.

[3]  N. Maffulli,et al.  The treatment of open tibial fractures and of tibial non-union with a novel external fixator. , 2002, Injury.

[4]  M. İnan,et al.  [Treatment of type II and III open tibial fractures with Ilizarov external fixation]. , 2002, Acta orthopaedica et traumatologica turcica.

[5]  M. Arazi,et al.  Ilizarov external fixation for severely comminuted supracondylar and intercondylar fractures of the distal femur. , 2001, The Journal of bone and joint surgery. British volume.

[6]  G. Zych,et al.  Treatment of comminuted intraarticular distal femur fractures with limited internal and external tensioned wire fixation. , 2000, Journal of orthopaedic trauma.

[7]  F. Ali,et al.  Treatment of isolated complex distal femoral fractures by external fixation. , 2000, Injury.

[8]  J. L. Marsh,et al.  Supracondylar fractures of the femur treated by external fixation. , 1997, Journal of orthopaedic trauma.

[9]  B. Browner.  Skeletal trauma : fractures, dislocations, ligamentous injuries , 1992 .

[10]  S. Green.  Ilizarov method. , 1992, Clinical orthopaedics and related research.

[11]  Professor Dr. Gavriil A. Ilizarov.  Transosseous Osteosynthesis , 1992, Springer Berlin Heidelberg.

[12]  Gavriil Abramovich Ilizarov,et al.  Transosseous Osteosynthesis: Theoretical and Clinical Aspects of the Regeneration and Growth of Tissue , 1991 .

[13]  A. Sarmiento,et al.  External Fixation and Functional Bracing , 1989 .