Primary Nailing of Type-I and II (Gustilo – Anderson) Open Fracture of Tibia After 6 Hours of Injury
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Background :- Primary nailing of open fracture of tibia after 6 hours of injury is a controversial issue. Conventionally open fractures are debrided and fixed with external fixator or nail as an urgent case. Objectives :- The purpose of this study is to evaluate the result of reamed locked intramedullary nailing of type-I and II (Giustilo – Anderson) open fracture of shaft of tibia when it is performed after 6 hours of injury. Methods :- 30 patients with type-I and II open fracture of shaft of tibia between the ages of 18 and 50 years were included. On arrival, wound lavage was given in emergency minor OT and antibiotic was started. Primary nailing was done as an elective case in routine operation theatre. Results were evaluated with Ekeland et al criteria. Results :- 24(80%), 4(13.3%) and 2(6.6%) cases were rated as excellent, good and fair. None was rated as poor. 3(18.75%) out of 16 type-II fracture got deep infection. None of the 14 type-I fracture got infected. Infected cases got union without any further surgical intervention. Conclusion :- Primary nailing of type-I and II open fracture of tibia after 6 hours of inury gives excellent outcome in 80% of cases, but the rate of infection in type-II open fracture is high.
Authors and Affiliations
Sanjib Waikhom, Dilip Soring
Keywords
Related Articles
- EP ID EP377374
- DOI 10.9790/0853-1707074248.
- Views 71
- Downloads 0
A Study of Serum Uric Acid Levels in Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease(COPD) is a disease causing limitation of airflow due to inflammation of airways with parenchymal destruction and subsequent emphysema formation.uric acid, the purine degradation prod...
Comparıson Of Coloratıon Of Composıte Resın Restoratıons As A Result Of Waıtıng For Dıfferent Solutıons
Objective: The aim of this study was to evaluate the effect of different times and exposure time of different solutions on coloration. Material and Method: In this study, 60 pieces of 13 mm diameter and 1.5 mm thick comp...
Insulin-Like Growth Factor-IIAs A Tumour Marker In Patients With Hepatocellular Carcinoma
Hepatocellular carcinoma (HCC) is one of the most common cancer worldwide that causes death and in Egypt the burden of HCC is increasing. Prognosis depends on tumor stage. Insulin-like growth factors (IGFs) play an impor...
Long Standing, Non Healing Corneal Ulcer: Manegment Approach
Corneal ulcer is one of the most common causes of visual acuity impairment and blindness all over the world. The aim of the study was to evaluate various factors affecting the corneal ulcers healing. A total of 93 Patien...
Outcomes of Thoracoscopic Thymectomy in Children: Experience in A Resource Challenged Setup
Thoracoscopic thymectomy which has a steeper learning curve is now becoming a reality in many centers in developing countries. The aim of the study is to highlight the advantage of thoracoscopic thymectomy over conventio...