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
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- EP ID EP377374
- DOI 10.9790/0853-1707074248.
- Views 45
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