par Burny, Franz Léon 
;El Bana, S.;Evrard, E.;Van Der Ghinst, Marcel ;De Geeter, L.;Peeters, Marc;Verdonck, P.;Desmet, C.
Référence Acta orthopaedica Belgica (Ed. bilingue), 45, 1, page (33-46)
Publication Publié, 1979
;El Bana, S.;Evrard, E.;Van Der Ghinst, Marcel ;De Geeter, L.;Peeters, Marc;Verdonck, P.;Desmet, C.Référence Acta orthopaedica Belgica (Ed. bilingue), 45, 1, page (33-46)
Publication Publié, 1979
Article révisé par les pairs
| Résumé : | The revascularisation and a functional loading of the immobilized fractured bone are in the opinion of the authors the primordial elements for a satisfactory bony union. The rational use of osteotaxis makes it possible to attain these two objectives, as is shown by a clinical study of 442 simple fractures of the tibia. Early loading is justifiable in the case of transverse fracture while screw osteosynthesis is combined with it in the case of oblique or long spiroid fracture. The reduction, done as early as possible, should be done with the focus closed or after minimal opening. The main complication, cutaneous necrosis, occurs in fractures incorrectly taken for simple breaks; a skin contusion of severe degree is usually at the origin of this complication. Better understanding of the biomechanism of fracture union would help to lower the number of refractures. The reactions to the pins are usually minimal and do not justify replacement of osteotaxis by a plaster. Unfortunately, lack of a pertinent study does not allow a comparison with the results from other techniques of treatment. |
