Friday, April 17, 2015

External fixators for open fractures of tibia and fibula in patients with haemophilia A

External fixators for open fractures of tibia and fibula in patients with haemophilia A - Lin - 2014 - Haemophilia - Wiley Online Library Skip to Main Content Wiley Online Library Log in / Register Log In E-Mail Address Password Forgotten Password?

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External fixators for open fractures of tibia and fibula in patients with haemophilia AJ. Lin, H. Liu, P. Liu andH. Yang*Article first published online: 29 DEC 2014

DOI: 10.1111/hae.12538

© 2014 John Wiley & Sons Ltd

Issue

HaemophiliaHaemophiliaVolume 21, Issue 1, pages e51–e53, January 2015


Additional Information

How to CiteLin, J., Liu, H., Liu, P. and Yang, H. (2015), External fixators for open fractures of tibia and fibula in patients with haemophilia A. Haemophilia, 21: e51–e53. doi: 10.1111/hae.12538

Author Information

Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China

* Correspondence: Huilin Yang, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, Jiangsu 215006, China.
Tel.: +86-512-67780101; fax: +86-512-67780999;
e-mail: hlyangsuzhou@gmail.com

Dr. Jun Lin and Dr. Hao Liu contributed equally to this work.

Publication HistoryIssue published online: 29 DEC 2014Article first published online: 29 DEC 2014Manuscript Accepted: 12 NOV 2013 SEARCH Search Scope All contentPublication titlesIn this journalIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (154K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleGet Citation AlertsRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Enhanced Article (HTML) Get PDF (154K) Keywords:external fixators;fibula;fractures;haemophilia A;open;tibiaSummary

To evaluate the efficacy of external fixators(EFs) for management of open fractures of tibia and fibula in patients with haemophilia A. EFs are commonly used in the clinical management of infec-ted or open fractures when internal fixation is contraindicated and plaster immobilization is inadequate. However, EFs have not been frequently used for these indications in haemophilic patients for fear of pin tract infection and bleeding. This is a retrospective therapeutic study. We describe the use of EF (Orthofix uniplanar fixators) in five patients (mean age: 31.4 years; range: 10–52) with haemophilia A suffering from open fracture of tibia and fibula (Gustilo classification ranging from II to IIIA). The average time to union was 23 weeks (range: 18–30 weeks). Much lower levels were subsequently maintained till wound healing. The average total factor consumption was 358.30 IU kg-1 (range: 272–421 IU kg-1), administered over a period of 14.2 days (range 9–21). There were no major complications related to EF. In summary, EFs can be used safely and effectively in management of open fractures of tibia and fibula in patients with haemophilia A.

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