New concept in external fixation
Author(s) -
Milorad Mitković,
Marko Bumbaširević,
Zoran Golubović,
Ivan Micić,
Desimir Mladenović,
Saša Milenković,
Aleksandar Lešić,
Vojislav Bumbasirevic,
P Pavlović,
Saša Karalejić,
G. Kuljanin,
Dušan Petković
Publication year - 2005
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0502107m
Subject(s) - medicine , fluoroscopy , external fixator , fixation (population genetics) , closed fracture , external fixation , surgery , bone healing , open fracture , internal fixation , bony union , orthodontics , orthopedic surgery , population , environmental health
A new concept in external skeletal fixation is presented. A 3D unilateral system developed by Mitkovic has widely been investigated biomechanically in AO institute in Davos (Switzerland). Consists of three components only providing extremely simple application and dynamic fixation of bones and different joints. This simple external fixator functions as an accurate reduction device at the same time, minimizing need for fluoroscopy. Clinically this system has been applied to mere then 13 thousand patients in 43 clinics. This paper presents the results of its application for treatment of open fractures, war wounds with fractures and for comminuted and intraarticular closed fractures in the series of 597 patients. Overall average time for union time was 3.2 months. Overall success of fracture healing was 96.8% including open and closed fractures. Our study suggests that the use of this 3D unilateral system is suitable for routine use.
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