Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 4743-4752
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.4743
Early complications of preoperative external traction fixation in the staged treatment of tibial fractures: A series of 402 cases
Jia-Zhao Yang, Wan-Bo Zhu, Liu-Bing Li, Qi-Rong Dong
Jia-Zhao Yang, Liu-Bing Li, Qi-Rong Dong, Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu Province, China
Jia-Zhao Yang, Department of Traumatic Orthopedics, The First Affiliated Hospital of USTC, Hefei 230000, Anhui Province, China
Wan-Bo Zhu, Department of Traumatic Orthopedics, Affiliated Anhui Provincial Hospital of Anhui Medical University, Hefei 230000, Anhui Province, China
Author contributions: Zhu WB and Yang JZ conceived and designed the study; Yang JZ collected the data and wrote the manuscript; Li LB and Dong QR read, revised, and approved the final manuscript; All authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the First Affiliated Hospital of USTC (2020-P-061). As for this research, an optout of the informed consent, the information disclosure, and a negative opportunity are guaranteed in the Ethical approval.
Informed consent statement: All subjects participating in the study signed the informed consent statement form.
Conflict-of-interest statement: There is no conflict of interest issue related to this work.
Data sharing statement: Please contact author for data requests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Rong Dong, MD, Chief Doctor, Department of Orthopedics, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Suzhou 215004, Jiangsu Province, China. dongqirong@suda.edu.cn
Received: July 10, 2020
Peer-review started: July 10, 2020
First decision: August 8, 2020
Revised: August 20, 2020
Accepted: September 15, 2020
Article in press: September 15, 2020
Published online: October 26, 2020
Processing time: 108 Days and 7.5 Hours
Core Tip

Core Tip: The safety of external traction fixation has not been well studied. This study included 402 patients who underwent external traction fixation for high-energy tibial fractures. Overall incidence of complications was low (4.7%); vascular injury or compartmental syndrome was not noted. Complications of hammer insertions were significantly fewer than drill insertions.