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L’ostéosynthèse interne dans le traitement des fractures ouvertes Gustilo IIIb de la jambe

Internal fixation in the treatment of Gustilo IIIb open fractures of the leg

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Abstract

Gustilo type IIIb open fractures are most often associated with high energy trauma and cannot be closed by simple suture because of the high risk of infection and non-union. As an alternative to the external fixator, fixation by reamed locked intermedullary nailing was done according to the standard technique. The fixation allowed immediate partial or complete weightbearing and mobilisation of the neighbouring joints. In addition, it allows simple and rapid skin cover by flaps. This immediate skin cover allows one to diminish the risk of infection.

Résumé

Les fractures ouvertes de type Gustilo IIIb sont liées le plus souvent à des traumatismes à haute énergie et ne peuvent pas être couvertes par une suture simple. L’importance des risques d’infection et de pseudarthrose est élevée. En alternative au traitement par fixateur externe, une ostéosynthèse par enclouage centro-médullaire verrouillé avec alésage a été réalisée selon une technique classique. Le montage permet l’appui total ou partiel immédiat et la mobilisation des articulations voisines, de plus il permet la réalisation simple et rapide d’une couverture cutanée par lambeau. En effet cette réalisation immédiate permet de diminuer le risque infectieux.

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Authors and Affiliations

  1. Service de Chirurgie du Genou, Centre de Traumatologie et d’Orthopédie, 10, avenue Achille Baumann, F-67400, Illkirch-Graffenstaden, France

    B. Schlemmer, P. Giraud & G. Jenny

Authors
  1. B. Schlemmer
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  2. P. Giraud
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  3. G. Jenny
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Additional information

S.O.T.EST, juin 1994 — Lons-le-Saunier

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Schlemmer, B., Giraud, P. & Jenny, G. L’ostéosynthèse interne dans le traitement des fractures ouvertes Gustilo IIIb de la jambe. Eur J Orthop Surg Traumatol 6, 9–10 (1996). https://doi.org/10.1007/BF02718683

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  • DOI: https://doi.org/10.1007/BF02718683

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