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. 2022 Jan-Apr;17(1):44–54. doi: 10.5005/jp-journals-10080-1551

Table 2.

Group II using the method of acute shortening in the case of consequences of trauma

Authors, publication date Number of patients Aetiology of the soft tissue defect Defect closure method (shortening, angulation, rotation, combined) Area of the soft tissue defect Deformity correction method The need for microsurgical intervention Time of fixation in the ExFix Size of the bone defect Restoration of anatomy and function of the limb Complications
1 Bundgaard and Christensen, 2000 1 Open fracture of Gustillo type IIIB, subsequent infection Acute shortening 3 cm and subsequent gradual shortening (1–2 mm per day) with angulation (4° per day) 10 × 15 cm Correction of the angulation and lengthening with the Ilizarov apparatus None 357 days 9 cm Anatomy: complete restoration of limb length Function: limited range of motion in the ankle joint (Ext/Flex—5/15°) Were not observed
2 Nho et al., 2006 1 Open fracture of Gustillo type IIIA, subsequent infection Acute shortening and angulation 2.5 × 2.5 cm Angulation correction and lengthening by the TSF None 7 months 6 cm Anatomy: complete restoration of limb length Function: return to previous activity level No data
3 Rozbruch et al., 2006 25 Infectious consequences of open fractures type Gustillo II—2, Gustillo IIIA—5, Gustillo IIIB—14, Gustillo IIIC—4; flap problem—2 Acute shortening for defects <3 cm, and gradual shortening for defects >3 cm (monofocal, bifocal and trifocal approach) The mean size—10.1 (2–25) cm Lengthening with the Ilizarov apparatus—23 Deformity correction with Taylor spatial frame—2 Autodermaplastic 10–82 weeks The mean size—6 (2–14) cm Anatomy: residual deformity—7 Inflammation in the TE area—11
4 El-Rosasy, 2007 21 Open fracture of Gustillo type IIIA/B—10, infected non-union—11 Acute shortening to safe limits and subsequent gradual shortening of 2–3 mm per day No data Lengthening with the Ilizarov apparatus for defects >5 cm Lengthening with Orthofix apparatus for defects <5 cm Autodermaplastic—2 Rotated flap—1 3.5–11.6 months The mean size—4.7 (3–11) cm Anatomy: complete restoration of limb length—13, residual shortening—8 Refracture—1 Temporary paralysis of the peroneal nerve—1 Equinus contracture—1 Inflammation in the TE area—5 Flexion contracture of the knee joint—3
5 Gulsen and Özkan, 2009 3 Open fracture of Gustillo type IIIB—2, infected non-union—1 Gradual shortening and/or angulation 5 × 4 cm, 15 × 10 cm Correction of the angulation and lengthening the Ilizarov apparatus None 182–392 days The mean size—7.5 (4–11) cm Anatomy: excellent—3, residual shortening—1 Function: excellent—2, satisfactory—1 No data
6 Demir et al., 2009 8 Infected non-union Acute shortening No data Lengthening with monolateral ExFix—7 Ring ExFix—1 None 9.6 (6–16) months 8.6 (6–10) cm Anatomy: amputation—1, residual shortening—3, full recovery—4 Function: excellent—1, good—6 Inflammation in the TE area—6, delayed consolidation—1, stiffness of the ankle joint—3, equinus contracture—1, destabilization of the apparatus—1, deep infection of TE—1, uncontrolled infection—1
7 Lahoti et al., 2013 7 Open fracture of Gustillo type IIIB—5, infected non-union—2 Acute shortening—1 Angulation—3 Acute shortening and angulation—1 Acute shortening, angulation and rotation—2 3–10 cm Deformity correction by the TSF None 6–9.5 months No data Anatomy: complete restoration of limb length Inflammation in the TE area—1
8 Atbasi et al., 2014 17 Infected non-union—16, open fracture—1 Acute shortening The mean size—7 × 6.8 (3 × 3–10 × 10) cm Lengthening with the Ilizarov apparatus No data 3–12 months 1–6 cm Anatomy: excellent—11, good—3, bad—3 Function: excellent—10, good—4, satisfactory—3 Refracture—1, amputation—1, inflammation in the TE area—2
9 Minoughan et al., 2019 1 Open fracture of Gustillo type II, subsequent infection Acute shortening and angulation 1 × 3 cm Deformity correction by the TSF None 24 weeks No data Anatomy: complete restoration of limb length Function: return to the previous activity level No data