Primary plating osteosynthesis in open fractures

Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3

Abstract

Introduction: We have undertaken the work with the idea that early internal fixation with plate provide sufficient stability for proper nursing of wound and fracture healing on one hand and initiation of early joint function and rehabilitation on the other hand. The purpose of this study was to evaluate an early aggressive wound management and fracture stability in an attempt to alter the natural history of complex open fractures with respect to union, infection rate and time and cost of hospitalization and rehabilitation. Materials & Methods: The present study was conducted in the department of the orthopaedics, Medical College. A total of 30 individuals either of male or female were included in the study. They were selected from the OPD of the hospital. Each patient was subjected to a clinical, radiological and pathological examination. Results: A total of 30 patients diagnosed with open fracture were included in the study and treated with help of primary plating. Out of the total 30 patients, 15 were of grade 1, 7 were of grade II fracture and 8 were in grade III. Discussions & Conclusion: Fifteen cases in the series reported between 3 to 12 hours after sustaining the trauma due to lack of communication and transport facilities. Only 2 patients could reach the hospital within 3 hours both of them were from urban areas. We conclude from the study that the judicious selection of cases, skilful management of the injured limb and early rehabilitation is the key for compound fractures. Infection is one of the most important problems in the management of open fractures, which determine the final outcome.

Authors and Affiliations

Dr. Sangeen Bhundiya, Dr. Chintan Seth

Keywords

Related Articles

Comparison of volar plate with K-wire fixation of distal radius fractures: A prospective study

Introduction: The optimal management of distal radius fractures remains controversial. The aim of this study was to compare the functional outcomes of patients who underwent k-wire fixation or volar plating for fractures...

Prospective study of correlation of pain and radiological feature of OA knee

Aim of study was to assess the relationship between disability and defining features of osteoarthritis knee (Radiological findings and pain) To identify predictors of disability in patients where radiological evidence of...

Evaluation of serum bone specific alkaline phosphatase levels in isolated closed diaphyseal fractures of long bones in relation to fracture healing

Introduction: In day-to-day practice, progression of bone healing is assessed mainly by clinico-radiological parameters. Furthermore, clinicians are unable to identify the delayed and non-unions early, and even advanced...

Osteochondroma of lateral clavicle: A rare case report

Osteochondromas arising from the clavicle are extremely rare and symptomatic cases are even less common. We report a case of large solitary osteochondroma of lateral end clavicle in a 18 year old male. Range of motion of...

MRI in spinal tuberculosis: Its use in early diagnosis and initiation of anti-tubercular therapy

Objective: With high incidence and prevalence of spinal tuberculosis in developing countries like India MRI can be used for early detection of spinal tuberculosis and can serve as a basis for starting anti tubercular the...

Download PDF file
  • EP ID EP500483
  • DOI 10.22271/ortho.2017.v3.i3l.130
  • Views 122
  • Downloads 0

How To Cite

Dr. Sangeen Bhundiya, Dr. Chintan Seth (2017). Primary plating osteosynthesis in open fractures. International Journal of Orthopaedics Sciences, 3(3), 868-870. https://europub.co.uk/articles/-A-500483