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Year : 2015  |  Volume : 14  |  Issue : 1  |  Page : 35-39

External fixation of compound femoral shaft fractures in knee flexion position

Correspondence Address:
Mohamed Jaffer Jawad
orthopedic surgeon at Al-Yarmuk teaching hospital & senior lecturer at Al-Mustansyria College of Medicine

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Source of Support: None, Conflict of Interest: None

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Background: Compound femoral shaft fracture (open fracture) are unsuitable to be treated by internal fixation primarily, in these situation external fixation is the treatment of choice. Aim of the study: The aim of this method (fixation of compound femoral shaft fractures using external fixators in knee flexion position) is to have a good range of knee movements immediately, post operation and later on, in comparism to classical method (external fixation in knee extension). Methods: The role of external fixation in the management of compound femoral shaft fractures is reviewed based on a study of 40 patients with compound femoral shaft fractures managed by an A O external fixator in extended knee position (20 patients during the period from 2003 – 2005) and knee flexion position (20 patients during the period from 2006 – 2009). Results: Results showed that those patients with fixation in knee flexion position have much better range of knee joint movements compared with those with knee extension position at time of fixation, without any significant differences in the of fracture healing between the 2 groups. Conclusion: External fixation of femoral fractures in knee flexion position give good range of knee motion in early and late follow up over fixation in knee extension.

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