Study on fracture fixation in comorbid conditions
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
There are many co morbid conditions which exist before a fracture is sustained and developed or identified during the evaluation for fitness to undergo surgery. The study is done with 83 patients who are diagnosed as having a co morbid condition which can influence the outcome preoperatively and post operatively. They are grouped in to three groups where in cardiac, respiratory and renal comorbid conditions are identified. Each co morbid condition is evaluated and treated by the concerned medical speciality for the treatment as well as to ascertain the fitness to undergo surgery. The fracture patterns in this study are cases which require definitive fixation as and when the patients are fit to undergo surgery. The ideal time of fracture fixation with ideal implant is around five days, beyond which the fracture reduction is not ensured owing to soft tissue contractures , over riding of fragments, which necessitate open reduction techniques associated with more antibiotic usage, more soft tissue dissection, reaming of the bone. The results of our study are dependent up on minimal intra operative and post operative complications following change of plan taking co morbid conditions in to consideration. The other aspect is fracture stability with change of implant.
Authors and Affiliations
Dr. M. Prasanth, Dr. P. Anil Babu
Keywords
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- EP ID EP594819
- DOI 10.9790/0853-1604072730.
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