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International Orthopaedics

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01-11-2017 | Original Paper

Papineau technique combined with vacuum-assisted closure for open tibial fractures: clinical outcomes at five years

Authors: Tongzhu Bao, Fang Han, Feng Xu, Yi Yang, Xun Shu, Ken Chen, Baiwen Qi, Shijun Wei, Aixi Yu

Published in: International Orthopaedics | Issue 11/2017

Abstract

Purpose

Treatment of open tibial fractures with soft tissue and segmental bone defects is difficult. This study reports our results for treating these injuries with a combination of Papineau open bone grafting and vacuum-assisted wound closure (VAC).

Methods

The records of 19 patients with open tibial fractures with soft tissue and segmental bone defects treated with bone grafting and VAC from 2004 to 2010 were retrospectively reviewed. Outcomes included: time to complete granulation tissue coverage, wound healing, and bone union; length of hospitalization; frequency of debridement; number of deep tissue infections.

Results

Initial surgery was performed within 48 hours of injury. Ten fractures were Orthopaedic Trauma Association classification 41-A3, one was 41-C3, seven were 43-A3, and one was 43-C3. No surgical complications occurred, and the mean length of hospitalization was 11.0 ± 3.0 weeks (range, 7-18 weeks). The mean follow-up time was 59.35 ± 8.76 months. The mean time for complete wound healing was 7.76 ± 1.52 weeks (range, 6-11 weeks). Bone union was achieved in all patients at a mean of 33.88 ± 8.37 weeks (range, 23-53 weeks). Only one patient developed a deep tissue infection, which was treated with antibiotics and debridements, and complete bone union wound healing was achieved. Based on Paley grade, five outcomes were excellent, eight were good, and four were fair.

Conclusions

The combination of VAC and open bone grafting results in good outcome for patients with open tibial fractures and severe bone and soft-tissue defects.

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Title: Papineau technique combined with vacuum-assisted closure for open tibial fractures: clinical outcomes at five years
Authors: Tongzhu Bao
Fang Han
Feng Xu
Yi Yang
Xun Shu
Ken Chen
Baiwen Qi
Shijun Wei
Aixi Yu
Publication date: 01-11-2017
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 11/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3620-1

At a glance: The STEP trials

Springer Medicine

Papineau technique combined with vacuum-assisted closure for open tibial fractures: clinical outcomes at five years

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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