A study of loss of DALY seen in the patients of open tibia fracture treated with External versus Internal fixation
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 1, Issue 2
Abstract
Background: Compound fracture of the tibia is one of the most common injuries encountered by any orthopedics center. Aims and Objectives: To study loss of DALY seen in the patients of open tibia fracture treated with External versus Internal fixation. Material and Methods: Between June 2012 to November 2013, 30 patients with open tibia fracture treated with external fixation and 30 treated with internal fixation were included in the study. The ethics committee approved the study plan informed consent was obtained from all patients before the operation. patient with age>15 years, patient presenting with grade II, IIIa and IIIb open tibia fracture decided to be treated with fixation were included into study while Patient having associated vascular injury , Fracture involving epiphysis, Patients not willing for surgery , Closed fractures were excluded from the study. Once a patient with open tibia fracture is admitted the standards treatment protocol was followed. Statistical analysis done by unpaired t test. Result: The mean DALY Lost for wound healingfor External fixation was 3.26 Months while for Internal fixation was 1.06 months (P<0.05), The mean DALY Lost for clinical union for External fixation was 7.92 months while for Internal fixation was 4.57 months(P<0.05)The mean DALY Lost for Radiologicalunion for External fixation was 8.39 months while for Internal fixation was 4.89 months (P<0.05). Conclusion: It can be concluded from our study that Internal fixation was superior to External fixation in comparison with DALY Lost as significantly higher DALY lost was in External fixation as compared to internal Fixation.
Authors and Affiliations
Ajay Gour, Rahul Jaju
Keywords
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