STUDY OF THE END RESULTS AND ASSESSMENT OF AUTONOMIC FUNCTIONAL CHANGES FOLLOWING EARLY MANAGEMENT OF DIAPHYSEAL FRACTURE OF TIBIA BY INTERLOCKING NAILING IN YOUNG ADULTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 90
Abstract
BACKGROUND Tibia is a large bone of the body and one of the principal load bearing bones in lower extremity. Non-operative treatment of tibial fractures is associated with a high prevalence of malunion, stiffness of the joint & poor functional outcome. Intramedullary interlocking nailing is a technique which allows stable reduction and early mobilisation. The assessment of autonomic functions is an important part of the evaluation of peripheral and central nervous system. The Aim of the study was to assess the end results and autonomic functional status in tibial fracture treated by early interlocking intramedullary nailing in young adults. MATERIALS AND METHODS 56 patients in the age group of 18-40 years who presented with diaphyseal fractures of tibia were studied from November 2013 to October 2015 (2 years). Average followup was 7 months. Immediate heart rate response to standing (30:15 R-R ratio) was done to assess the parasympathetic function. Cold Pressor Response (CPR) was done to assess the sympathetic function. RESULTS The average duration of partial weightbearing was 3 weeks. The average duration of full weightbearing was 14 weeks. The average time of healing was 17 weeks. All patients except 2 showed normal parasympathetic function (30:15 R-R ratio). All patients except 2 showed normal sympathetic function (Cold Pressor Test). CONCLUSION Due to lack of information about autonomic functions of the patients before fracture and small sample size, further studies are needed to assess changes in autonomic functions of the patient following this procedure. Because of the high union rate and low infection rate, we consider closed interlocking nailing as the best mode of treatment for diaphyseal tibial fractures.
Authors and Affiliations
Tapan Kumar Das, Anupam Debnath
Keywords
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- EP ID EP278277
- DOI 10.14260/jemds/2017/1382
- Views 71
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