TREATMENT OF INFECTED NON-UNION OF LONG BONES WITH MONOLATERAL EXTERNAL FIXATION (LRS)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 14
Abstract
Infected non-union has been defined as a state of failure of union and persistent infection at the fracture site for 6-8months1 and union is not likely to occur without active intervention. Infected non-union has been a challenge in orthopaedic surgical care. Open debridement of the infected non-union site appropriate antibiotics and stabilization of fracture are the basic principles of treatment in an infected non-union. Internal fixation of such fracture is fraught with recurrence and or persistence of infection as the implant so placed will act as a foreign body. The best way to stabilize such a fracture is with an external fixation. External fixation so used should not only stabilize the fracture but should also take the cyclical loading of day to day activities and also weight bearing. [b]MATERIALS AND METHODS: [/b] In this study 18 cases of infected non-union of long bones were treated from 2009 to 2012. Their age ranged from 22 to 51. There were 13 male and 5 female patients. Basic principles followed in the treatment. 1. Elimination of infection by physical debridement removal of implants if any and antibiotic treatment based on culture sensitivity reports. 2. Stabilization of fracture to give the fracture area rest and allow it to heal. 3. Restoration of function of the limb and also the adjacent joints. [b]RESULTS[/b]: 17 of the 18 patients had good results. Patient had to be treated with amputation as the infection was severe. [b]CONCLUSION:[/b] Based on our study, experience and also after reviewing the published reports we conclude that “Best treatment for infection is Prevention”. Treatment infected non-union is a long drawn battle. It needs an aggressive approach and a lot of patience from the patient. Basic treatment protocol for infected non-union is thorough debridement, removal of all infected material including the internal fixation devices. Long duration antibiotics treatment as per the culture and sensitivity pattern. Fracture stabilized with external fixation. Monolateral external fixators like LRS are equally effective and a good modality of treatment in infected non-union of long bone fractures. Treatment of Infected non-union of long bones using monolateral external fixation (LRS)-A prospective Study
Authors and Affiliations
Hanume Gowda, Archana G
Keywords
Related Articles
- EP ID EP95593
- DOI 10.14260/jemds/2014/2324
- Views 91
- Downloads 0
METASTATIC ADENOCARCINOMA IN OMENTUM IN AN INCARCERATED INGUINAL HERNIA: A CASE REPORT WITH REVIEW OF LITERATURE
Inguinal hernias are common and metastatic deposits of intra abdominal malignancies in the omentum are also common. Detailed review of literature depicts that metastatic deposits in hernial sacs are extremely r...
STUDY TO ESTABLISH CORRELATION BETWEEN VITAMIN D, PTH AND BMD IN TYPE 2 DIABETIC PATIENTS
BACKGROUND Type 2 Diabetes Mellitus still remains one of the leading causes of morbidity and mortality. Diabetic patients are prone to osteoporosis. The development of osteoporosis in diabetes is also promoted by the coe...
HYPOPHOSPHATAEMIA IN CRITICALLY ILL CHILDREN
BACKGROUND To estimate the prevalence of hypophosphataemia and outcome associated with this disturbance in children admitted to PICU. METHOD In this prospective cohort study, 102 children admitted consecutively...
EVALUATION OF ERECTILE DYSFUNCTION WITH DUPLEX COLOUR DOPPLER SONOGRAPHY OF PATIENTS PRESENTING IN IGIMS, PATNA
BACKGROUND Duplex colour Doppler sonography is a useful tool for the evaluation of erectile dysfunction, especially for organic causes like arterial and venous. The causes of erectile dysfunction are multiple. It could b...
PREVALENCE OF LOW VISION AMONG SCHOOL CHILDREN IN A RURAL BLOCK OF HARYANA
BACKGROUND Low vision and blindness in children are important because of their impact on the child’s development, education, future work opportunities and quality of life. These negative effects are experienced throughou...