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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
95° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) (La Spezia, September 04-05, 1998)
Minerva Ortopedica e Traumatologica 2000 February;51(1):25-30
Treatment of limb fractures by a new external device
Donzelli T., Ronzani C., Citterio M., Sallustri M., Bazzoni D., Garbuglia A., Bossi C. E.
Background. Evaluation of a new external fixator for the treatment of fractures of the limbs pointing out the results in gunshot wound fractures.
Methods. From February 1995 to December 1996 the one-plane unilateral external fixator VM Jet with self-tapping pins was used. The frame had capability for compression, distraction and free axial sliding. The device was applied in 34 cases on 31 patients (24 men, 7 women; average age 41.8) with associated multiple injuries; among these cases 3 gunshot wound fractures were treated: 1 humerus, 1 femur and 1 tibia.
Results. Two patients are not valuable: 1 died for associated multiple injuries and 1 was amputated for severe lesions of the soft tissues. Six major complications were observed, which required a new operation: 4 destabilization of the frame and 2 refractures. The other patients healed with the external fixator, including 5 delayed union (nonoperative treatment). Considering the gunshot wound fractures, 1 destabilization of the device was observed, requiring a new operation.
Conclusions. The VM Jet external fixator is an effective treatment for high-energy fractures of the limbs. The frame is stiff, light and its application is easy and fast. It is not always the ultimate treatment. Its application requires very often open reduction of the fracture.