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Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature

INTRODUCTION: The presence of massive soft tissue loss in open tibial fractures is a challenging problem. Acute limb shortening is an alternative solution in situations where the use of flaps is limited. MATERIALS AND METHODS: A review was conducted following the Preferred Reported Items for Systema...

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Autores principales: Plotnikovs, Konstantins, Movcans, Jevgenijs, Solomin, Leonid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166261/
https://www.ncbi.nlm.nih.gov/pubmed/35734040
http://dx.doi.org/10.5005/jp-journals-10080-1551
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author Plotnikovs, Konstantins
Movcans, Jevgenijs
Solomin, Leonid
author_facet Plotnikovs, Konstantins
Movcans, Jevgenijs
Solomin, Leonid
author_sort Plotnikovs, Konstantins
collection PubMed
description INTRODUCTION: The presence of massive soft tissue loss in open tibial fractures is a challenging problem. Acute limb shortening is an alternative solution in situations where the use of flaps is limited. MATERIALS AND METHODS: A review was conducted following the Preferred Reported Items for Systematic Reviews and Meta-analyses checklist (PRISMA) guidelines. A complete search of PubMed, EMBASE and MEDLINE was undertaken. Twenty-four articles related to closure of soft tissue defects through acute limb shortening were identified and included in this review. RESULTS: All report on restoration of limb function without or with minimal residual shortening. The authors note a decrease in the need for microsurgery. The external fixation devices used for deformity correction after closure of the soft tissue defect by acute shortening, angulation and rotation were the Ilizarov apparatus and circular fixator hexapods mainly. CONCLUSION: Acute shortening is an alternative to microsurgical techniques. A ring external fixator is useful for restoring limb alignment after closing the soft tissue defect through creating a temporary deformity. The use of circular fixator hexapods can enable accurate correction of complex multicomponent deformities without the need to reassembly of individual correction units. HOW TO CITE THIS ARTICLE: Plotnikovs K, Movcans J, Solomin L. Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature. Strategies Trauma Limb Reconstr 2022;17(1):44–54.
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spelling pubmed-91662612022-06-21 Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature Plotnikovs, Konstantins Movcans, Jevgenijs Solomin, Leonid Strategies Trauma Limb Reconstr Systematic Review INTRODUCTION: The presence of massive soft tissue loss in open tibial fractures is a challenging problem. Acute limb shortening is an alternative solution in situations where the use of flaps is limited. MATERIALS AND METHODS: A review was conducted following the Preferred Reported Items for Systematic Reviews and Meta-analyses checklist (PRISMA) guidelines. A complete search of PubMed, EMBASE and MEDLINE was undertaken. Twenty-four articles related to closure of soft tissue defects through acute limb shortening were identified and included in this review. RESULTS: All report on restoration of limb function without or with minimal residual shortening. The authors note a decrease in the need for microsurgery. The external fixation devices used for deformity correction after closure of the soft tissue defect by acute shortening, angulation and rotation were the Ilizarov apparatus and circular fixator hexapods mainly. CONCLUSION: Acute shortening is an alternative to microsurgical techniques. A ring external fixator is useful for restoring limb alignment after closing the soft tissue defect through creating a temporary deformity. The use of circular fixator hexapods can enable accurate correction of complex multicomponent deformities without the need to reassembly of individual correction units. HOW TO CITE THIS ARTICLE: Plotnikovs K, Movcans J, Solomin L. Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature. Strategies Trauma Limb Reconstr 2022;17(1):44–54. Jaypee Brothers Medical Publishers 2022 /pmc/articles/PMC9166261/ /pubmed/35734040 http://dx.doi.org/10.5005/jp-journals-10080-1551 Text en Copyright © 2022; The Author(s). https://creativecommons.org/licenses/by-nc-sa/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-share alike license (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as original. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Systematic Review
Plotnikovs, Konstantins
Movcans, Jevgenijs
Solomin, Leonid
Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title_full Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title_fullStr Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title_full_unstemmed Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title_short Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature
title_sort acute shortening for open tibial fractures with bone and soft tissue defects: systematic review of literature
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166261/
https://www.ncbi.nlm.nih.gov/pubmed/35734040
http://dx.doi.org/10.5005/jp-journals-10080-1551
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