Treatment of 78 type II and type IIIa open fractures by primary closure on suction drain: a prospective study

Forty-three consecutive cases of giant cell tumour of tendon sheath were included in a prospective study. The tumours were classified into two main types, depending on whether the entire tumour was, or was not, surrounded by one pseudocapsule as assessed by the surgeon during surgery. Each type was then sub-classified according to the thickness of the capsule, lobulation of the tumour, the presence of satellite lesions, and the diffuse or multicenteric nature of the tumour: these factors were also assessed by the surgeon. The mean follow-up period was 4 (range, 2–6) years. None of the type I tumours ( n=30) recurred, but recurrence occurred in five out of 13 type II tumours. Second recurrences were seen with type II B and C, but not type II A tumours.

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A Prospective Study of Clinical Factors (BMI, DM) Inﬂuencing Healing of Abdominal Incisions Correlated with Tissue Expression of MMP2, MMP9 and TIMP

Academia Journal of Surgery ◽

10.47008/ajs/2020.3.1.31 ◽

2020 ◽

Vol 3 (1) ◽

pp. 142-148

Author(s):

Venkat Vaijnath Cholleti ◽

Mohd. Ilyas

Keyword(s):

Wound Healing ◽

Growth Factors ◽

Prospective Study ◽

Tissue Expression ◽

Obese Patients ◽

Type Ii ◽

Clinical Factors ◽

Extracellular Proteases ◽

Surgical Wounds ◽

A Prospective Study

Background: There is a dynamic and reciprocal interaction among ECM and involving cells, cytokines, growth factors and proteases (MMP/TIMP). The controlled degradation of ECM by extracellular proteases particularly MMP/TIMP and serene proteases forms the basis of wound healing. To study clinical factors (BMI, DM) influencing healing of acute abdominal surgical wounds as graded by tissue expression of MMP 2, MMP 9 and TIMP. Subjects and Methods: The present study was conducted in 46 patients in the Department of General Surgery, Kamineni Hospitals, L.B. Nagar, Hyderabad. Results: Type II DM was found in 63 % of patients and found to be having significantly affecting wound healing (p = 0.0017). Wound healing was delayed in uncontrolled DM. Diabetics with healed wound had increased expression of MMP-2 and decreased expression of MMP-9 while Diabetics with non-healed had strong expression of MMP-9 and TIMP as compared to MMP-2. Obesity was seen in 47.82 % of patients and significantly affected wound healing (p = 0.0022). Obese patients with healed wounds had increased expression of MMP-2 and MMP – 9 with decreased TIMP levels. Conclusion: The present study strongly supported tissue expression of MMP-2, MMP-9 and TIMP 2 balance between 7-14 days as a good predictor of wound healing in abdominal laprotomy wounds.

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Management of Open Fractures of Tibial Diaphysis by External Fixation Followed by Locking compression Plate Osteosynthesis in hemodynamically Unstable Patients: A prospective study

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-1510030509 ◽

2016 ◽

Vol 15 (10) ◽

pp. 05-09

Author(s):

Raj Kumar Debbarma ◽

Prof AM Singh ◽

Prof SN Chishti ◽

Sagnik Mukherjee ◽

L Wobemo Lotha ◽

...

Keyword(s):

Prospective Study ◽

External Fixation ◽

Plate Osteosynthesis ◽

Locking Compression Plate ◽

Open Fractures ◽

Tibial Diaphysis ◽

Compression Plate ◽

A Prospective Study

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Evaluation of compound tibial fractures managed with an Ilizarov ring fixator

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20202038 ◽

2020 ◽

Vol 6 (4) ◽

pp. 710

Author(s):

Praveen Ravi ◽

Muthumanickam Ramanujam ◽

Jambu Nageswaran ◽

Sundar Suriyakumar

Keyword(s):

Open Fractures ◽

Tibial Fractures ◽

Long Bone ◽

Type Ii ◽

Ring Fixator ◽

Type Iiia ◽

Type Iiib ◽

Ilizarov Ring Fixator ◽

Ilizarov Fixator ◽

The Ideal

Background: The tibia is the most commonly fractured long bone and because of its location and the tenuous soft tissue coverage, its more prone for open fractures tibia than any other long bone. The ideal management of such fractures still remains controversial. We have evaluated the healing of fractures and functional outcomes in patients with open tibial fractures treated with an Ilizarov ring fixator.Methods: 32 patients who had open fractures of the tibia (II, IIIA or IIIB) who were treated with an Ilizarov fixator were included in the study. The patients were followed up for a minimum period of 1 year after removal of the fixator. Functional and radiological results were analysed using association for the study of applications of methods of Ilizarov scoring.Results: There were 20 cases of type IIIB, 7 cases of type IIIA, 5 cases of type II fractures. Union was achieved in all patients. Mean time for union was 25.2 weeks, with faster union times in type II, type IIIA fractures. Six cases of type IIIB needed flap cover. Limb discrepancy was seen in 3 cases. 17 cases of pin tract infections were seen, most of which were grade 3 and were managed with antibiotics. Two cases had delayed union, of which one was treated with bone marrow aspirate injection and the other one with bone grafting. At one year, 21 (65.6%) had excellent results, six (18.7%) had good results, four (12.5%) had fair outcomes and one (3.2%) had a poor result.Conclusions: Despite the associated complications, Ilizarov fixator is the ideal treatment for compound tibial fractures.

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