CHEAP, SAFE YET EFFECTIVE MANAGEMENT OF DELAYED UNION OF TIBIA IN A LIMITED RESOURCE SET UP
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 31
Abstract
BACKGROUND Traumatic bone injuries are ever on the increase following a steep rise in road traffic accidents and other high velocity injuries. The number of primary surgeries and repeat surgeries as well are also hence on a steady increase. The limited infrastructure facilities, patient overload, and economic constraints of the patients’ as well as the institutes’, are problems that are encountered. MATERIALS AND METHODS The study was conducted in Government Medical College, Kottayam, Kerala. Study group included both males and females, mainly males. The age group of patients varied from 20 years to 64 years. The period of study was from June 2013 to January 2018. There were 48 patients: 40 were males and 8 were females. The cases included closed fractures in 30 and open fractures in 18. The fracture pattern included simple as well as mildly comminuted with two patients having butterfly fragment. RESULTS Of the 48 patients in this study group during June 2013 to January 2018 study period, all ended up in solid union at the end of the treatment period. Two patients with butterfly fragment along with comminution were given bone marrow injection at the site of butterfly fragment gap at the first follow up to enhance union and finally united at the end of third follow up i.e., at the end of 4 ½ months after the intervention. The time period for symptom free union from the onset of this interventional treatment varied from 6 weeks to 4½ months. CONCLUSION Delayed union occurring in fracture tibia which has been treated initially by ILN can be managed by a minimally invasive way in a group of patients by a relatively minor surgery as well as combining the advantages of functional cast bracing to permit early return to pre-morbid activities.
Authors and Affiliations
Santhosh Kumar M. N
Keywords
Related Articles
- EP ID EP570106
- DOI 10.18410/jebmh/2018/471
- Views 94
- Downloads 0
CLINICAL STUDY OF LABOUR IN TWIN PREGNANCY
The objective of the present study is to analyse the incidence of preterm labour, intrapartum complications, incidence of operative delivery both vaginal and cesarean and indications for such interventions. METHODOLOGY:...
DEVELOPMENT OF SULCI & GYRI AT DIFFERENT FOETAL AGE GROUPS
INTRODUCTION: The human nervous system is the most complex, widely investigated and yet poorly understood physical system known to mankind. The study of the development of human brain in utero is possible with investigat...
DEPRESSED SKULL FRACTURES- CASE SERIES OF 100 PATIENTS
BACKGROUND Depressed fracture is common following head injury and its management is controversial. These are often associated with considerable morbidity and mortality. This study aims to evaluate various aspects includi...
ASSESSMENT OF TTK CHITRA MITRAL PROSTHETIC VALVE AT REST AND EXERCISE BY ECHOCARDIOGRAPHY
BACKGROUND Assessment of prosthetic valve by echocardiography remains an important aspect in prosthetic valve follow up. Changes in transvalvular gradient during increase in heart rate (HR) is a common phenomenon. In thi...
A COMPARATIVE STUDY OF OUTCOMES AFTER MODIFIED RADICAL MASTECTOMY DONE UNDER THORACIC EPIDURAL vs. GENERAL ANAESTHESIA
BACKGROUND In earlier days General Anaesthesia (GA) was the choice for MRM, but recently Thoracic Epidural (TE) analgesia is being increasingly used for MRM. TE technique has a lot of advantages over the conventional GA...