scholarly journals Fractures of the tibia shaft treated with locked intramedullary nail

2013 ◽  
Vol 19 (4) ◽  
pp. 197-201
Author(s):  
Al. Șerban ◽  
V. Botnaru ◽  
R., Turcu ◽  
B. Obadă ◽  
St. Anderlik
Keyword(s):  
Retrospective Study ◽  
Intramedullary Nail ◽  
Gold Standard ◽  
Tibial Fracture ◽  
Standard Treatment ◽  
Tibial Shaft ◽  
Complex Fractures ◽  
Interlocking Intramedullary Nail ◽  
Tibia Shaft ◽  
Clinical Emergency

Abstract Background: The gold standard treatment for complex fractures of tibial shaft is the reamed interlocking intramedullary nail. There has been some controversies about dynamization of statically locked nail, and some authors recommend routine dynamization for promotion of healing. This study evaluates the treatment of complex fractures of tibia shaft with static and dynamic interlocking intramedullary nail method. Methods: In this retrospective study, we studied 100 patients treated in Clinical Emergency Hospital Constanta between April 2012 - July 2013 diagnosed with tibia and fibula shaft fractures. They were treated by external fixation, and intramedullary nail. The intramedullary nail was blocked distally static or dynamic. Results: All patients achieved union during 12-18 weeks. The need of dynamization was required at 23 patients after 10 weeks from osteosynthesis. No significant complication was observed in our patients. Alignment of tibial fracture was perfect in all patients without any shortening and rotation. Conclusion: Locked intramedullary nailing is the treatment of choice for fractures of the tibial shaft.

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

2019 ◽  
Vol 3 (1) ◽  
pp. 67-69
Author(s):  
Dr. Bhavesh R Namsha ◽  
Dr. Udaygiri H Meghnathi ◽  
Dr. Alizayagam N Hasan
Keyword(s):  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Interlocking Intramedullary Nail

Interlocking intramedullary nail stabilisation of a diaphyseal tibial fracture

1993 ◽  
Vol 34 (1) ◽  
pp. 26-30 ◽  
Author(s):  
P. Muir ◽  
R. B. Parker ◽  
S. E. Goldsmid ◽  
K. A. Johnson
Keyword(s):  
Intramedullary Nail ◽  
Tibial Fracture ◽  
Interlocking Intramedullary Nail

Treatment with Unleamed Interlocking Intramedullary Nail for Tibial Shaft Fracture

1996 ◽  
Vol 9 (2) ◽  
pp. 466
Author(s):  
Hyung Ku Yoon ◽  
Kwang Pyo Jeon ◽  
Dae Eun Jung ◽  
Ho Seung Jeon ◽  
Man Je Park
Keyword(s):  
Intramedullary Nail ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Interlocking Intramedullary Nail

scholarly journals Laparoscopic splenectomy is emerging ‘gold standard’ treatment even for massive spleens

2015 ◽  
Vol 97 (5) ◽  
pp. 345-348 ◽  
Author(s):  
SK Somasundaram ◽  
L Massey ◽  
D Gooch ◽  
J Reed ◽  
D Menzies
Keyword(s):  
Retrospective Study ◽  
Gold Standard ◽  
Laparoscopic Splenectomy ◽  
Standard Treatment ◽  
Operating Time ◽  
Spleen Weight ◽  
Spleen Size ◽  
Open Splenectomy ◽  
Haematological Disorders ◽  
Upper Gastrointestinal

Introduction Since its first description by Delaitre and Maignien in 1991, laparoscopic splenectomy (LS) has evolved as treatment of choice for mild-to-moderately-enlarged spleens and for benign haematological disorders. LS is a challenge if massive spleens or malignant conditions necessitate treatment, but we report our method and its feasibility in this study. Methods We undertook a retrospective study of prospectively collected data of all elective splenectomies carried out in our firm of upper gastrointestinal surgeons from June 2003 to June 2012. Only patients opting for elective LS were included in this study. Results From June 2003 to June 2012, elective splenectomy was carried out in 80 patients. Sixty-seven patients underwent LS and 13 underwent open splenectomy (OS). In the LS group, there were 38 males and 29 females. Age ranged from 6 years to 82 years. Spleen size in the LS group ranged from ≤11cm to 27.6cm. Twelve patients had a spleen size of >20cm. Weight ranged from 35g to 2,400g. Eighteen patients had a spleen weight of 600–1,600g and eight had a spleen weight >1,600g. Operating times were available for 56 patients. Mean operating time for massive spleens was 129.73 min. There was no conversion to OS. There were no major complications. Conclusions With improved laparoscopic expertise and advancing technology, LS is safe and feasible even for massive spleens and splenic malignancies. It is the emerging ‘gold standard’ for all elective splenectomies and has very few contraindications.

Time to abandon the old dictum of delayed laparoscopic cholecystectomy after acute cholecystitis has settled in Caribbean practice

2021 ◽  
pp. 004947552110100
Author(s):  
Shamir O Cawich ◽  
Avidesh H Mahabir ◽  
Sahle Griffith ◽  
Patrick FaSiOen ◽  
Vijay Naraynsingh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Gold Standard ◽  
Standard Treatment ◽  
Gallstone Disease ◽  
Acute Attack ◽  
Early Laparoscopic Cholecystectomy ◽  
Delayed Surgery ◽  
Delayed Cholecystectomy ◽  
Delayed Laparoscopic Cholecystectomy

Although laparoscopic cholecystectomy is the gold standard treatment for acute cholecystitis, many Caribbean surgeons are reluctant to operate during the acute attack. We collected data for all consecutive patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 1 to 31 December 2018. Delayed cholecystectomy was done >6 weeks after acute cholecystitis settled. We compared data between early and delayed groups. Delayed laparoscopic cholecystectomy was performed in 54 patients, and 42 had early laparoscopic cholecystectomy. Delayed surgery resulted in significantly more complications requiring readmission (39% vs 0), longer operations (2.27 vs 0.94 h) and lengthier post-operative hospitalisation (1.84 vs 1.1 days). Caribbean hospitals should abandon the practice of delayed surgery after cholecystitis has settled. Early laparoscopic cholecystectomy would be financially advantageous for our institutions, and it would save patients recurrent attacks of gallstone disease.

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