Outcome of open fracture of long bones managed with TENS nail
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 1
Abstract
Background: Open fractures of long bones can involve significant morbidity and are troublesome, as potential for contamination is high in such cases. The correct and timely management of these injuries can benefit patients and lead to more favorable outcomes. Aim: To study the outcome of using TENS Nail as a primary procedure in open trauma long bone. Material and Methods: A total of 30 cases with closed fractures or Grade 1 open fracture where internal fixation could not be done due to poor local and general condition or Grade 2 and 3a open trauma and Grade 3b open trauma cases without gross contamination were managed with TENS nail. Outcome was assessed clinically and radiologically. Results: About 28 (93.4%) patients had radiological alignment while one (3.3%) patient each presented with sagittal plane angulation (>10° procurvatum) and coronal plane angulation (>10° valgus). 4 (13.3%) patients had union on TENS nail. All patients had union after definitive surgery. Conclusion: The better outcome of management suggests that titanium elastic nailing can be a viable option in early management of open fracture long bone with some merit over other procedures.
Authors and Affiliations
Harshad G Argekar, Rishabh Jaiswal, Santosh N Banshelkikar, Praveen Jadhav
Keywords
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- EP ID EP465657
- DOI 10.26611/1020814
- Views 74
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