Outcome of Open Diaphyseal Tibial Fracture Managed with Unreamed Intra Medullary Inter Locking Nail
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2016, Vol 28, Issue 03
Abstract
To determine the outcome of unreamed intra medullary inter locking nail in management of open tibial diaphyseal fracture in terms of union. Methods: This descriptive case series study was conducted from July 2011 to June 2012. Adult patients of either sex with tibial diaphyseal open fracture Gustilo-Anderson type I-III A treated by unreamed intramedullary static inter locking nail were selected, while patients with comorbidities, associated intra articular fractures, infection and Gustilo-Anderson type III B-C were excluded. Patients were operated with intramedullary interlocking and along with wound management. Some required reconstruction with flaps and dynamization of nail. Patients were clinically and radiographically followed up for union of fracture on monthly interval for 9 months and documented on proforma. SPSS 20 was used for statistical analysis. Results: 70 patients were selected. Males were 60 (85.71%) and females were 10 (14.29%). Mean age was 35.3 ± 12.8. 32 (45.7%) patients had Gustilo-Anderson type I fracture, 24 (35.2%) had type II fracture and type III-A in 14 (20%) patients. 61(87.14%) patients had duration of fracture 3 or less days and 9 (12.86%) had duration of more than 3 days at presentation. Union occurred in 60 patients (85.71 %), Non-union in 10(14.29%) patients. Mean duration of union of fracture was 16.24 ± 4.19 weeks. 20(28.57%) patients required dynamization of nail. 9(12.85%) patients developed delayed wound and bone infection requiring management.. Conclusion: Intramedullary static unreamed Interlocking Nail is a suitable treatment, and could be preferred treatment in tibial diaphyseal open Gustilo-Anderson Type I-III A fractures, due to achieving timely union and low infection rate. Key words: Tibia, static interlocking nail, diaphyseal open fracture, non-union
Authors and Affiliations
Kashif Mahmood Khan, Hussain Ahmed, Muhammad Saeed Minhas, Anisuddin Bhatti
Keywords
Related Articles
- EP ID EP742470
- DOI -
- Views 42
- Downloads 0
Intra-and Inter-Observer Accuracy of Cobb’s Angle in Scoliosis; Six Weeks Apart
Objective: Cobb’s angle is important for assessing the severity and progression of the curvature, as well as for monitoring and managing spine deformities. The reliability in the determination of Cobb's angle depends on...
Bryan-Morrey Approach: A Safe Approach for Intra-Articular Fractures of Distal Humerus
Objective: To determine the functional outcome of open reduction and internal fixation (ORIF) of intra-articular distal humerus fractures treated with Bryan Morrey approach. Methods: This descriptive was conducted in...
Outcome of Locally Delivered Antibiotics via Bone Cement in Infective Nonunion, Chronic Osteomyelitis and Joint infections, A Case Series
Objective: To determine the outcome of locally delivered antibiotics via bone cements in infective non-union, chronic osteomyelitis and joint infections Methods: The study was conducted between January 2016 to June 20...
Comparison of Clinical and Radiological Outcomes of Freehand Patellar Resection Technique Versus Cutting Guide Technique in Total Knee Arthroplasty.
Objective: To compare the clinical and radiological outcomes of freehand patellar resection technique versus cutting guide technique in primary total knee arthroplasty. Methods: This randomized controlled trial was cond...
Functional Outcome of Closed Humeral Shaft Fractures Treated with Functional Brace.
Objective: To determine the functional outcome of closed humeral shaft fractures treated with functional brace. Methods: This descriptive study was conducted in Orthopedic Department District Headquarter hospital Teac...