RECENT ADVANCES IN THE TREATMENT OF LONG BONE FRACTURES OF THE LOWER LIMB*

1978 ◽  
Vol 1 (10) ◽  
pp. 548-551
Author(s):  
Kevin F. King
Injury ◽  
2004 ◽  
Vol 35 (3) ◽  
pp. 309-317 ◽  
Author(s):  
George A Babalis ◽  
Christos K Yiannakopoulos ◽  
Konstantinos Karliaftis ◽  
Emmanuel Antonogiannakis

Injury ◽  
2006 ◽  
Vol 37 (6) ◽  
pp. 543-553 ◽  
Author(s):  
Eve W.Y. Wong ◽  
Edison W.K. Lee

Author(s):  
Hrishikesh Pande ◽  
Chander Mohan Singh ◽  
Anjan Prabhakara ◽  
Vivek Mathew Philip ◽  
Mohd Shezan Iqbal ◽  
...  

<p class="abstract"><strong>Background:</strong> Nonunion of long bone fractures is a common condition treated by an orthopaedic surgeon. Many nonunions can be treated effectively by internal fixation with or without bone grafting but, an infected nonunion can prove to be a tough challenge. The Ilizarov method is effective in managing infected nonunion of long bones. This study aims to assess the outcome of management of infected nonunions of long bones of lower limb with Ilizarov Ring fixator using bone and functional results as per Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 18 patients (16 Male: 2 Female; Mean age 43.2 years) managed with Ilizarov technique for an infected tibial or femoral nonunion between 01 January 2013 and 31 December 2014. They were followed up for an average of 25.4 months after removal of fixator. They were assessed for functional and Bone (radiological) outcomes using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 17 limbs were salvaged and union could be achieved. One limb required amputation due to severe persistent intractable infection. None required any additional skeletal stabilisation after removal of fixator frame except casting in a few patients for a period of 6 weeks. Mean time to union was 211.83 days (range 136 - 320days/median 184) or 7.01 months. As per the ASAMI score, Bone results were excellent in 10, good in 5, fair in 2 and poor in 1. Functionally 7 were graded as excellent, 6 as good, 3 as fair and 1 as poor and 1 patient underwent amputation.</p><p><strong>Conclusions:</strong> The Ilizarov’s method remains one of the most versatile and successful means of achieving bone healing in infected nonunions of long bones of lower limbs with additional benefits of correcting bone defects, deformities and limb length inequalities. </p>


2017 ◽  
Vol 3 (4g) ◽  
pp. 501-504
Author(s):  
Dr. Kamal Kumar Arora ◽  
Dr. Simranjit Singh ◽  
Dr. Priti Chaudhary ◽  
Dr. Rajesh Kapila ◽  
Dr. Rajan Sharma ◽  
...  

2019 ◽  
Vol 6 (9) ◽  
pp. 3170
Author(s):  
Elizabeth C. Sada ◽  
Firdaus Bhot ◽  
Rohit Kanishetty

Background: Musculoskeletal trauma represents a considerable global health burden. Lower limb long bone fractures are seen as a serious concern at the individual and population level. So the purpose of the study was to find incidence and cause of delay for treatment of long bone fractures of the lower limb in tertiary care hospital.Methods: All adult patients (more than 18 years) reporting to Emergency Medicine Department of a tertiary care hospital with long bone fractures of lower limb were included in the study. Effects on the final outcome on the lifestyle of the patients were evaluated against the interventions and management at all stages of the course of the illness. Delay of surgery: in our study delay of surgery means if surgery occurs after one day (24 hours) of admission. The entire data is statistically analysed using SPSS software. P values less than 0.05 are considered to be statistically significant.Results: 74 operated cases. 60 cases (81.10%) had delayed surgery, 14 cases (18.9.0%) did not have delayed surgery. 33 cases (55%) had medical reason for delay, 19 cases (31.7%) had financial reason for delay, 5 cases (14.3%) had infrastructure issues (unit system/non availability of implant), 3 cases (5.0%) had plan of surgery as causes of delay.Conclusions: These factors have an effect in the final outcome of the cases. The final outcome is dependent on multiple factors. Adequate attention to each and every one of them was long way to get the patient to the pre-incident stage. 


2020 ◽  
Vol 6 (1) ◽  
pp. 276-279
Author(s):  
Mohammed Jalal Mohiuddin ◽  
Chinnamarri Rahul Reddy ◽  
Syed Abdul Raheem ◽  
Dr. C Shamsunder ◽  
Thoom Shloka

2009 ◽  
Vol 81 (11) ◽  
Author(s):  
Leszek Brongel ◽  
Wiesław Jarzynowski ◽  
Piotr Budzyński ◽  
Waldemar Hładki ◽  
Jacek Lorkowski ◽  
...  

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