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
Related Articles
- EP ID EP177349
- DOI -
- Views 92
- Downloads 0
Radiological incidence of long plantar and short ligament enthesophytes in patients with symptomatic plantar fascitis
Background: This study is carried out to find out the incidence of long plantar and short plantar ligament enthesophytes in patients with symptomatic plantar fascitis using lateral ankle radiographs. Materials and method...
Failed hip surgeries managed with replacement arthroplasty: A retrospective study of 25 cases
Background: Hip fractures account to succumb devastating lifestyle and early mortality in older comorbid patients. Fractures of the hip region need anatomical fixation and osteosynthesis. But implant failures are associa...
A prospective study on surgical management of trochanteric and subtrochanteric femoral fractures with proximal femoral nail in a tertiary care hospital, Andhra Pradesh
Background: Fractures around the trochanteric region of femur are one of the commonest fractures and the most devastating injuries. Currently, Surgery is the mainstay of treatment for both displaced and undisplaced peri...
Plating of fibula in the management of distal metaphyseal tibial and fibular fractures - A prospective study
The tibia is exposed to frequent injury. Distal tibial metaphyseal fractures are often the result of high-energy trauma, usually associated with distal fibular fractures. The presence of the ankle joint allows rotatory d...
Distribution of various fractures observed in adults in tertiary care institute
Background: A bone fracture is a medical condition in which there is damage in the continuity of the bone. A bone fracture can be the result of high force impact or stress or a minimal trauma injury as a result of certai...