scholarly journals Prospective study of management of close or compound segmental fracture tibia by close reduction and internal fixation with interlocking nail

2017 ◽  
Vol 3 (2f) ◽  
pp. 571-575
Author(s):  
Dr. Vivek P Nikumbha ◽  
Dr. G Krishna N Goud ◽  
Dr. Siddharth Baidya ◽  
Kuldeep Mishra
Keyword(s):  
Prospective Study ◽  
Internal Fixation ◽  
Interlocking Nail ◽  
Segmental Fracture ◽  
Fracture Tibia

scholarly journals A prospective study on outcome analysis of fracture ankle dislocation managed with internal fixation

2019 ◽  
Vol 5 (2) ◽  
pp. 1104-1107
Author(s):  
Dr. Ashoka Yadav ◽  
Dr. Shailendra Singh ◽  
Dr. Shashank Tomar ◽  
Dr. Indrajeet Das Bhoumik
Keyword(s):  
Prospective Study ◽  
Internal Fixation ◽  
Outcome Analysis ◽  
A Prospective Study ◽  
Ankle Dislocation

scholarly journals Union in Fracture Tibia Managed with Closed Intramedullary Interlocking Nail, Our Hospital Results

2021 ◽  
pp. 286-291
Author(s):  
Lachman Das Maheshwari ◽  
Muhammad khan Pahore ◽  
Madan Lal ◽  
Syed Salman Adil ◽  
Bheesham Kumar ◽  
...  
Keyword(s):  
Low Cost ◽  
Full Range ◽  
Early Mobilization ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Health Science ◽  
Outpatient Clinics ◽  
Tibial Shaft Fracture ◽  
Interlocking Nail ◽  
Fracture Tibia

Introduction: The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail. Methods: This research was carried out at Liaquat University of Medical and Health Science Jamshoro Pakistan from June 2020 to June 2021. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. Our study's clinical outcomes were categorized as union, nonunion, delayed union, or malunion based on the criteria. All of the patients were given anesthesia, either general or spinal. All of the patients were tracked for a period of nine months. Results: In 90–150 days, about 88 percent (220/250) of patients had union, with a mean of 110.68. Union occurred in 11.2 percent (28/250) of patients in 95–109 days, with a mean of 103.38. There were 7.2 percent (18/250) delayed unions and 4.8 percent (12/250) non unions treated with dynamization and bone transplant. The outcomes were outstanding in 88 percent (220/250) of the patients and good in 7.2 percent (18/250). Our patients all had full range of motion in their knees and ankles at the time of their examination. Conclusion: We found that this approach is beneficial due to early mobilization (early weightbearing), reduced complexity, good outcomes, and low cost.

Development of a bone nonunion in a noncritical segmental tibia defect model in sheep utilizing interlocking nail as an internal fixation system

2013 ◽  
Vol 183 (2) ◽  
pp. 620-628 ◽  
Author(s):  
Angel R. Lozada-Gallegos ◽  
Jorge Letechipia-Moreno ◽  
Icela Palma-Lara ◽  
Aldo Alessi Montero ◽  
Gerardo Rodríguez ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Defect Model ◽  
Interlocking Nail ◽  
Bone Nonunion ◽  
Tibia Defect ◽  
Internal Fixation System ◽  
Fixation System

scholarly journals Open Reduction Internal Fixation versus External Fixation with Limited Internal Fixation for Displaced Comminuted Closed Pilon Fractures: A Randomised Prospective Study

2018 ◽  
Vol 24 (1) ◽  
pp. 84-89
Author(s):  
Rayan Ahmed ◽  
Kotb Ahmed ◽  
M. Elmoatasem Elhussein ◽  
Samir Shady ◽  
Tamer A. El-Sobky ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Prospective Study ◽  
Internal Fixation ◽  
External Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Articular Surface ◽  
High Energy ◽  
Complication Rates ◽  
Pilon Fractures

Background Pilon fractures involve the dome of the distal tibial articular surface. The optimal treatment for high-energy pilon fractures remains controversial. Some authors advocate the use of open reduction and internal fixation (ORIF) to avoid articular incongruence. Others advocate the use of bridging external fixation with limited internal fixation (EFLIF) to reduce soft tissue complications. Literature reports of prospective studies comparing the radioclinical outcomes of ORIF and EFLIF in high-energy fractures are scarce. Retrospective studies have their limitations because of insufficient randomisation. The objective of this randomised prospective study is to compare the clinical, radiologic and functional outcomes of displaced and comminuted closed pilon fractures, Rüedi and Allgöwer type II and III, treated by either ORIF or EFLIF. Materials and Methods Forty-two patients were selected for the study. Twenty-two patients were subjected to ORIF and 20 patients were subjected to EFLIF. We used the American Orthopaedic Foot and Ankle Society score as a standard method of reporting clinical status of the ankle. Patients were followed-up clinically and radiologically for over 2 years after the surgical treatment. Results The results of ORIF and EFLIF in treatment of high-energy pilon fractures are equally effective in terms of functional outcomes and complication rates on the short term. Conclusion Soft tissue integrity and fracture comminution seem to have a significant influence on outcomes of intervention. A prospective multicentre study with a larger sample size that controls for other associated variables and comorbidities is warranted. Level of evidence Level II.

scholarly journals A prospective study of 50 cases of patella fractures treated with different modalities

2018 ◽  
Vol 4 (5) ◽  
pp. 783
Author(s):  
Rajesh V. Chawda ◽  
Parag M. Tank ◽  
Vijay J. Patel ◽  
Yash S. Shah
Keyword(s):  
Prospective Study ◽  
Internal Fixation ◽  
Optimal Operation ◽  
Joint Surface ◽  
Patella Fractures ◽  
Surgical Options ◽  
A Prospective Study ◽  
Partial Patellectomy ◽  
Patellar Fractures

<p class="abstract"><strong>Background:</strong> Fractures of patella account for 1% of all skeletal injuries. There is no universal accepted treatment for patellar fractures. After a fracture of the patella, the best results are obtained by accurate reduction and stable internal fixation. Partial or total patellectomy is generally indicated when the patella is so severely comminuted that an accurate reduction and reconstruction of the retropatellar joint surface cannot be achieved.</p><p class="abstract"><strong>Methods:</strong> The prospective study of 50 cases of patellar fractures was carried out at the department of orthopaedics for the period from May 2015 to December 2017. The maximum period of follow up was 18 months with a minimum period of follow up of 5 months (average 11.68 months). Operative treatment was done in patella fractures for more than 2 mm of articular displacement or 3 mm of fragment separation. Surgical options includes internal fixation with tension band wiring with k wire and partial patellectomy with extensor mechanism repair.<strong></strong></p><p class="abstract"><strong>Results:</strong> We have studied 50 patients where 7 cases were treated conservatively. In the present series 22 patients were treated with internal fixation out of which 13 patients had excellent results. 6 patients had good results. 21 patients were treated with partial patellectomy where 6 patients had excellent results, 11 patients had good and 4 patients had fair results.</p><p class="abstract"><strong>Conclusions:</strong> Patella should be preserved and Osteosynthesis whenever possible has better chance for excellent results. A good surgical technique, optimal operation room environment and judicious use of antibiotics will reduce the possibility of infection.</p>

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