scholarly journals Health outcomes of delayed union and non-union of diaphyseal fractures

Injury Extra ◽  
2009 ◽  
Vol 40 (8) ◽  
pp. 145
Author(s):  
Wei-Han Tay ◽  
Martin Richardson ◽  
Russell Gruen ◽  
Richard de Steiger
Keyword(s):  
Health Outcomes ◽  
Delayed Union ◽  
Non Union ◽  
Diaphyseal Fractures

scholarly journals Role of tibia interlocking nail in treating distal tibial metadiaphyseal fractures: study of 46 cases

2017 ◽  
Vol 4 (1) ◽  
pp. 65
Author(s):  
Neetin P. Mahajan ◽  
Eknath D. Pawar ◽  
Amit C. Supe ◽  
Hitesh J. Mangukiya
Keyword(s):  
Storage System ◽  
Distal Tibia ◽  
Delayed Union ◽  
P Value ◽  
Non Union ◽  
Interlocking Nail ◽  
Screw Breakage ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal tibial diaphyseal fractures are </span><span lang="EN-IN">known for its various challenges that orthopaedicians face while treating. While performing surgery, many principles of fixations are needed to be properly addressed. This study was undertaken to know the efficiency of closed reduction, polar screws and tibia interlocking nail fixation at our Institute.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The data, which were collected from the medical records and Department digitalised storage system and from the HMIS patient filing system, included age, sex, date of admission, type of admission (elective versus emergency), and AO classification of distal tibial fracture admitted in Orthopaedics Department from 2007 to 2013. Analyses of 46 cases, 34 males and 12 females, were made to find out the functional, radiological outcome, associated complications in treating distal tibia with ILN. During Analysis, association of the single event with the variables was estimated using Relative Risk, with a 95% confidence interval and P value of &lt;0.05 was considered significant</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The average time to union of the closed fracture was 15.4 weeks (range: 12–28 weeks). The healing times for the primarily nailed compound Grade I averaged 17.8 weeks (range: 15-34 weeks). Complications of delayed union occurred in 3 cases, and two cases of non-union. Infection in 6 cases (5 superficial, 1 deep), screw breakage in 4 cases and 3 cases of significant malalignment. The final functional outcome of 33 patients had excellent results, 11 had good results and 2 had fair results as determined by criteria of Johner and Wruh</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The dynamic osteosynthesis of distal tibia by interlocking nail and judicious use of poller screws is an effective alternative for the treatment of distal metaphyseal tibial fractures</span><span lang="EN-IN">.</span></p><p class="abstract"> </p>

scholarly journals Delayed-union and Non-union Fractures of the Lower Extremity

1964 ◽  
Vol 13 (2) ◽  
pp. 108-110
Author(s):  
K. Toguchida ◽  
K. Hasegawa ◽  
K. Yamaguchi ◽  
H. Setani ◽  
Y. Fukushima
Keyword(s):  
Lower Extremity ◽  
Delayed Union ◽  
Non Union

scholarly journals Result of closed interlocking intramedullary nail in tibial shaft fracture

2012 ◽  
Vol 44 (1-2) ◽  
pp. 15-17
Author(s):  
AHSM Kamruzzaman ◽  
S Islam
Keyword(s):  
Intramedullary Nail ◽  
Joint Stiffness ◽  
Shaft Fracture ◽  
Autogenous Bone ◽  
Tibial Shaft Fracture ◽  
Early Mobility ◽  
Non Union ◽  
Orthopedic Surgeons ◽  
Interlocking Intramedullary Nail ◽  
Diaphyseal Fractures

The management of tibial diaphyseal fractures has always held a particular interest for orthopedic surgeons. Not only they are relatively common but also they are often difficult to treat. This prospective study was carried out at Rangpur from April 2008 to November 2009. 34 patients were treated by closed interlocking intramedullary nail. Goal of this study was to find out a safe & effective management of fracture, early mobility of patient, functional joint motion and short stay in hospital. Routine follow up was carried out in 29 patients. In 24 cases, fracture (81.76%) were united, 4 cases (13.79%) needed dynamisation with autogenous bone grafting and 1 case devoloped non union. Study showed interlocking nailing in tibia provides early mobility of patients, reduces hospital stay and fracture unites without joint stiffness and less complication.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10470Bang Med J (Khulna) 2011: 44(1&2) 15-17

scholarly journals Fixation of Delayed Union or Non-Union Posterior Cruciate Ligament Avulsion Fractures

2014 ◽  
Vol 22 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Rohit Singla ◽  
Ashish Devgan ◽  
Paritosh Gogna ◽  
Amit Batra
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Delayed Union ◽  
Avulsion Fractures ◽  
Non Union

scholarly journals Titanium Elastic Nailing System (TENS) for Tibia Fractures in Children: Functional Outcomes and Complications

2016 ◽  
Vol 55 (204) ◽  
pp. 55-60 ◽  
Author(s):  
Kapil Mani KC ◽  
Parimal Acharya ◽  
Arun Sigdel
Keyword(s):  
Functional Outcomes ◽  
Skin Irritation ◽  
Limb Lengthening ◽  
Delayed Union ◽  
Tibial Fractures ◽  
Entry Site ◽  
Superficial Infection ◽  
Non Union ◽  
Fractures In Children ◽  
Tibia Fractures

Introduction: Closed reduction and cast application is still regarded as first line treatment for pediatric tibial fractures. Over the past few decades, management of pediatric tibial fractures has shifted more towards operative intervention because of quicker recovery, shorter rehabilitation period, less immobilization, lack of stiffness of adjoining joints, and less psychological impact to the children. Flexible intramedullary nails not only fulfill the above advantage but also maintain alignment and rotation.Methods: This was a retrospective study of pediatric tibial fractures fixed with two titanium elastic nails through proximal ends of bones. Alignment of fracture, any infection, delayed union, non union, limb length discrepancy, motion of knee joint, and fracture union time were measured during follow-up examination.Results: Forty-five patients were enrolled into the study out of which 28 (62.2%) were male and 17 (37.8%) were female. Average age of patient was 9.48±2.17 years and average time taken to heal the fractures (both clinical and radiological) was 11.17±2.81 weeks. There were 2 (4.4%) of malunion, 4 (8.8%) of delayed union, 3 (6.6%) of limb shortening, 2 (4.4%) of limb lengthening, 6 (13.6%) of nail prominence and skin irritation, 2 (4.4%) of superficial infection at nail entry site and one case of re-fracture.Conclusions: Titanium elastic nail fixation is a simple, easy, rapid, reliable and effective method for management of pediatric tibial fractures in patients with operative indications. There may be the chances of complication following the TENS in tibia but these are avoidable as well as manageable with careful precautions. Keywords: complications; functional outcomes; tibia fractures. | PubMed

Proximal Diaphyseal Fractures of the Fifth Metatarsal (Jones' Fracture): Two Cases Treated by Cross-Pinning with Review of 106 Cases

Foot & Ankle ◽  
1983 ◽  
Vol 3 (5) ◽  
pp. 293-296 ◽  
Author(s):  
George A. Arangio
Keyword(s):  
Delayed Union ◽  
Jones Fracture ◽  
Diaphyseal Fractures

Two cases of successful percutaneous cross-pinning of one acute and one delayed union of Jones' fracture are presented. One hundred six cases of Jones' fracture, taken from the literature, are reviewed and tabulated.

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