[Treatment of XXXX and III @entity4422 with Ilizarov external fixation].

@entity1 @entity1605 @entity174 @entity4422
OBJECTIVES: We evaluated the results of @entity1 who were treated with Ilizarov external fixation for @entity1605 and III @entity4422 . METHODS: Forty-five @entity1 (4 females, 41 males; mean age 33 years; range 8 to 65 years) with @entity4422 were treated with the Ilizarov external fixator. According to the Gustilo-Mendoza classification, the @entity174 were @entity1605 , IIIA, IIIB, and IIIC in 12, 20, 9, and 4 @entity1 , respectively. The mean follow-up was 58 months and 4 days (range 42 months and 10 days to 66 months and 11 days). The fixators were applied for a mean of 17.2 weeks (range 6.8 to 55.7 weeks). RESULTS: Union was achieved in all cases. A significant difference was observed between @entity174 in terms of time to union (p<0.05). @entity174 , the time to union was significantly longer in type IIIB and IIIC @entity174 (p<0.05). The most frequent complication was pin-tract infections (27.1%). Refracture occurred in four cases (8.8%). Three @entity1 developed late infections at the @entity174 site. Radiographically, the results were excellent in 14 @entity1 (31%), good in 22 @entity1 (48.8%), moderate in five @entity1 (11.1%), and poor in four @entity1 (8.8%). Functional results were excellent in 21 @entity1 (46.6%), good in 20 @entity1 (44.4%), and moderate in four @entity1 (8.8%). CONCLUSION: Despite technical difficulties and problems associated with pin-tract infections, the Ilizarov external fixator may be the preferred technique in @entity4422 because of high union rates, the use of thin K-wires with minimal traumatic effect, and more successful functional results.
