Interlocking nails: Indian or imported? A study of 131 patients
Journal Title: Journal of Trauma and Orthopaedic Surgery - Year 2018, Vol 0, Issue 0
Abstract
Background: Currently, intramedullary nails used for displaced mid-shaft fractures of tibia and femur are either made locally or imported. For a majority of Indian patients, cost of imported implants could be a constraint. Inspite of their extensive use, there is no published data comparing their performance with respect to bony union and complication rates. Objective: To compare bony union and post-operative complication rates when Indian and imported nails are used for midshaft fractures of tibia and femur. Methods: Retrospective analysis of patients having undergone reamed antegrade interlocking nailing for mid-shaft (AO Type A1 for femur and OTA type A for tibia) closed femoral or tibial fractures between January 2005 and December 2014. Adult patients with a minimum follow-up of 1 year after the index surgery were included. Results: Records of 131 patients (137 surgeries) were analyzed. There were 103 males and 28 females with mean age 36.9 ± 15.6 years (range 18-76 years). High velocity injuries had contributed to 105 (76.6%) fractures. There were 92 (67.2%) tibial mid-shaft fractures and 45 (32.8%) femoral mid-shaft fractures. Indian nails were used in 64 (46.7%) and imported nails in 73 (53.2%) surgeries. Significantly more femoral fractures were treated using imported nails as compared to tibial fractures (68.9% Vs 45.7%; p < 0.005). Bony union was slightly, but not significantly delayed in the imported nails group for both fractures. No rod breakage, breakage of locking bolt or revision surgery was found in either group. No statistically significant association found between type of implant and radiological non-union. Conclusion: Both, Indian and imported interlocking nails yield similar radiological outcome.
Authors and Affiliations
Umesh Birole, Ashish Ranade, Gauri Oka, Aditi Kulkarni
Keywords
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- EP ID EP631979
- DOI 10.13107/jto.2018.v05i01.096
- Views 57
- Downloads 0
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