The tibial bayonet method of wound closure

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dc.contributor.author O’Farrell, Peter
dc.contributor.author Barnard, Annette‑Christi
dc.contributor.author Birkholtz, F.F. (Franz)
dc.date.accessioned 2018-02-09T12:48:46Z
dc.date.available 2018-02-09T12:48:46Z
dc.date.issued 2018-01-24
dc.description.abstract Management of open lower limb fractures with soft tissue defects can be a technically challenging orthopaedic problem. Limited availability of orthoplastic services means that alternatives to the fix and flap concept are required in order to prevent infected non-unions from developing. The proposed ‘bayonet apposition’ allows the surgeon to temporarily shorten the limb without angulating the limb or creating a bone defect and removing viable bone. The viable bone edges are overlapped in a bayonet-like manner in order to appose the wound and skin edges. The limb length is restored by gradually distracting the bone segments once the soft tissues have healed. This is facilitated with a hexapod fixator for stabilization of the fracture and distraction. Prerequisites for utilizing this method are circumferential soft tissue damage to the lower limb with viable distal tissue. The bayonet method allows primary closure of a wound and rapid restoration of the native length of the limb. en_ZA
dc.description.department Orthopaedic Surgery en_ZA
dc.description.librarian am2018 en_ZA
dc.description.uri https://link.springer.com/journal/11751 en_ZA
dc.identifier.citation O’Farrell, P., Barnard, A.-C. & Birkholtz, F. 2018, 'The tibial bayonet method of wound closure', Strategies in Trauma and Limb Reconstruction, pp. 1-6. NYP. en_ZA
dc.identifier.issn 1828-8936 (print)
dc.identifier.issn 1828-8928 (online)
dc.identifier.other 10.1007/s11751-018-0304-3
dc.identifier.uri http://hdl.handle.net/2263/63917
dc.language.iso en en_ZA
dc.publisher Springer Verlag en_ZA
dc.rights © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. en_ZA
dc.subject Limb salvage en_ZA
dc.subject Compound tibial fractures en_ZA
dc.subject Hexapod-assisted closure en_ZA
dc.subject Bayonet method en_ZA
dc.subject Duplication en_ZA
dc.title The tibial bayonet method of wound closure en_ZA
dc.type Article en_ZA


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