Functional outcome of open fractures of tibia treated with reamed interlocking intramedullary nailing
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 2
Abstract
Back ground and Objectives: Tibial diaphyseal fractures common long bone fractures encountered in clinical orthopaedic practice. Because most of the length of tibia is subcutaneous throughout, open fractures are more common in tibia than in any other major long bone. Materials and Methods: This study was performed with 25 open fractures of tibia with reamed interlocking intramedullary nailing in Bangalore Baptist Hospital after ethical clearance. All the cases were traumatic in nature and fresh fractures they were treated as early as possible after presentation and the secondary procedures of dynamization, skin grafting and musculocutaneous flaps were done wherever needed. Results: Majority of the patients were from age group 31-40 years, most of the patients were male 22 (88%) and only 3(12%) females. Most common cause of fracture was motor cycle accidents (48%). Right tibial fracture constituted majority of the patients, most of the open fractures of the tibia were Gustilo type I (56%), most of the fractures occurred at distal third tibia (40%). Most of the patients were operated 4 hours to 9 hours days after trauma (76%), mean operation time was 90 minutes. Conclusions: We can conclude that reamed interlocking intramedullary nailing with the help of image intensifier seems feasible in open diaphyseal fractures of the tibia. Early mobilization of the patient which helps in healing of the fracture and prevents joint stiffness. Minimal blood loss and minimal risk of infection. It also promotes early union as it does not disturb the anatomy and physiology of vascularity at the fracture site.
Authors and Affiliations
Basavlingappa Choudhari, Shiva Shankar T H, Niranjan M, Alexander Thomas
Keywords
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