Cost Effective Management of Open fractures shaft of femur in a Tertiary Care Hospital using Ilizarov fixator.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 04
Abstract
Objective: To determine the functional and radiological outcomes of Ilizarov fixator in managing open fractures shaft of femur. Methods: This descriptive study was conducted in Orthopaedic department Aga khan University hospital Karachi from 23rd January 20015 to 25th December 2020.All adults patients of both gender and age with open fracture femur fulfilling the inclusion criteria were operated with Ilizarov fixator. Functional and radiological outcomes were determined by using the Association for the Study and Application of Methods of Ilizarov (ASAMI) scoring system. The bone results and functional results were graded as excellent, good, fair and poor as per ASAMI scoring system. Results: We operated 32 patients of open fractures femur with Ilizarov fixator. The mean age was 41±7 years. Male patients were 31(96.87%) and female 1(3.12%). Right sided femur shaft fracture was present in 17(53.12% ) and left sided in 15(46.87%). The aetiology of fractures was road traffic in 24( 75%) and gunshot in 8( 25%) patients. Gustilo Anderson type IIIA fractures were present in 22(68.75%) and type IIIB in 10(31.25%) patients. Post operative bone results using ASAMI score were excellent in 16(50%), good in 15(46.87%) and fair in 1(3.12% ) patient. Function result using ASAMI score were excellent in 18(56.25%),good in 13(40.62%) and fair in 1(3.12%) patient. The average cost of treatment was 350,000 rupees. Conclusion: Illizarov fixator is a cost effective option for managing acute open femur fractures. Excellent and good functional and radiological results were achieved in majority of our patients.
Authors and Affiliations
Haroon ur Rashid1,Zohaib Nawaz Khan2,Rufina Ali3,Muhammad YounasKhan Durrani4,Masood Umer5
Keywords
Related Articles
- EP ID EP741295
- DOI -
- Views 38
- Downloads 0
Clinical and Functional Outcome of Acetabular Fracture Fixation: 5-year follow up Retrospective Cohort Study
Objective: Acetabular fractures are amongst complex injuries that Orthopaedic surgeons manage. Commonest cause of these fractures are high-energy trauma, and are frequently accompanied by additional possible life threate...
Surgical Outcome of Fungating Sarcomas.
Objective: To determine the surgical outcomes of fungating sarcomas. Methods: This descriptive study was conducted in Orthopaedics and Spine Unit Hayatabad Medical Complex Peshawar and Rehman Medical Institute Hayatab...
Short-term Outcome of Oral Prednisolone in the Management of Primary Adhesive Capsulitis.
Objective: To determine the short term outcome of oral Prednisolone in the management of primary adhesive capsulitis in terms of pain relief and improvement in shoulder range of motion. Methods: This descriptive study...
Comparison of Frequency of Complications of Paediatric Femoral Shaft Fractures Treated with Hip Spicca Versus Flexible Nails.
Objective: To compare the frequency of complications of Paediatric femoral shaft fractures treated with hip spicca versus flexible nails. Methods: This retrospective cross sectional study was conducted in Orthopedics...
Clinical Outcomes of Arthroscopic 360° Capsular Release for Idiopathic Adhesive Capsulitis in Beach Chair Position.
Objective: To study the clinical consequences Outcome after Arthroscopic 360 capsular release in beach Chair position for Idiopathic Adhesive Capsulitis (Frozen Shoulder) that had not been improved after any other interv...