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.

scholarly journals Functional Cast Bracing in Selected Cases of Tibial Shaft Fracture in the Population of Odisha - A Prospective Study

2021 ◽  
Vol 8 (9) ◽  
pp. 462-466
Author(s):  
Manoranjan Mallik ◽  
Ramesh Chandra Maharaj ◽  
Pravat Kumar Rout ◽  
Debi Prasad Nanda ◽  
Prajnadipta Rout
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Full Range ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union ◽  
Fracture Tibia ◽  
A Prospective Study ◽  
Ideal Method

BACKGROUND Tibial shaft fracture is one of the commonest fractures encountered in orthopaedic clinics today. With recent trend being surgical management, it has increased the economic burden in developing countries like India. Thus, interest in functional cast bracing can manage many of the fractures safely with less cost and shorter hospital stay with equally good results. METHODS This prospective study included 30 patients with closed tibial shaft fracture with minimal displacements who were treated with 3 weeks of initial long leg cast followed by functional cast bracing as described by Sarmiento in 1967 with a below knee patellar tendon bearing (PTB) cast with encouraged progressive weight bearing for 6 to 9 weeks. Our goal was to achieve shortening of < 10 mm, angulations of less than 5 degrees in any plane with full range of motion at knee as per Sarmiento. RESULTS Union was seen in 25 (83 %) cases. Angulations of < 5 degrees was noted in any plane in 79 % cases. Varus and apex posterior angulations were the most common deformity. Shortening 10 mm was noted in 72 % cases with almost complete ROM of knee joint in all patients. Non-union was noticed in 2 (7 %) cases. CONCLUSIONS Functional cast bracing can still be an ideal method of management for many of the tibial shaft fractures and with better understanding of the technique and proper application, it can safely be used on other long bones as well. KEYWORDS Closed Fracture Tibia, Functional Cast Brace

scholarly journals Delayed Tibial Shaft Fracture Healing Associated with Smoking: A Systematic Review and Meta-Analysis of Observational Studies Conducted Worldwide

2021 ◽  
Vol 18 (19) ◽  
pp. 10228
Author(s):  
Akanksha Mahajan ◽  
Narinder Kumar ◽  
Bhawna Gupta
Keyword(s):  
Systematic Review ◽  
Fracture Healing ◽  
Observational Studies ◽  
Meta Analysis ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Cochrane Library ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

Tibial fractures represent a great burden of disease globally, being the most common long-bone fracture; smoking is a known risk factor for delayed skeletal healing and post-fracture complications. This systematic review and meta-analysis aims to analyse the effect of smoking on healing of tibial shaft fractures. PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched from inception to March 2021, with no limitation on language, to find relevant research. All observational studies that assessed the association between cigarette smoking and tibial shaft fracture healing in adults (≥18 years) were included. The quality of studies was evaluated using the Newcastle Ottawa Quality Assessment Scale. A random effects model was used to conduct meta-analysis. Tobacco smoking was associated with an increased rate of non-union and delayed union as well as an increase in time to union in fractures of the tibial shaft. Among the 12 included studies, eight reported an increased rate of non-union, three reported delayed union, and five reported an increase in time to union. However, the results were statistically significant in only three studies for non-union, one for delayed union, and two studies for increased time to union. This review confirms the detrimental impact of smoking on tibial shaft fracture healing and highlights the importance of patient education regarding smoking cessation.

Treatments of the delayed Union or Nonunion of Tibial Shaft Fracture Fixed with Interlocking IM nail

1998 ◽  
Vol 11 (3) ◽  
pp. 552
Author(s):  
Yong Bum Park ◽  
chung Soo Hwang ◽  
Phil Hyun Chung ◽  
Suk Kang ◽  
Dong Joo Chae ◽  
...  
Keyword(s):  
Shaft Fracture ◽  
Delayed Union ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

scholarly journals Clinical Experience Using the Interlocking nail for Tibial Shaft Fracture.

1996 ◽  
Vol 45 (3) ◽  
pp. 1021-1024
Author(s):  
Masami Harushima ◽  
Takuya Goto ◽  
Hisashi Yamashita ◽  
Masakazu Morita ◽  
Hiizu Hara ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Interlocking Nail

scholarly journals Fracture Union in Closed Interlocking Nail in Femoral Fracture

2010 ◽  
Vol 49 (179) ◽  
Author(s):  
R L Sahu ◽  
J Sikdar
Keyword(s):  
Weight Bearing ◽  
Femoral Shaft ◽  
Early Mobilization ◽  
Delayed Union ◽  
Early Weight Bearing ◽  
Lower Extremity Injuries ◽  
Non Union ◽  
Interlocking Nail ◽  
Medical College ◽  
Extremity Injuries

INTRODUCTION: Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries. The objective of this study was to find out the outcome of Interlocking nail in fracture femur. METHODS: This study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from July 2006 to November 2008. Seventy eight patients were recruited from Emergency and out patient department having closed fracture of femoral shaft. All patients were operated under general or spinal anesthesia. All patients were followed for nine months. RESULTS: Out of seventy eight patients, sixty nine patients underwent union in 90 to 150 days with a mean of 110.68 days. Touch down weight bearing was started on 2nd post-operative day. Complications found in four patients who had non-union, and five patients had delayed union which was treated with dynamization and bone graft. The results were excellent in 88.46% and good in 6.41% patients. CONCLUSIONS: We concluded that this technique is advantageous because of early mobilization (early weight bearing), less complication with good results and is economical. Keywords: close reamed interlocking nail, dynamization, femoral shaft fractures, union

scholarly journals Evaluation of Results of Closed Reamed Nailing for Diaphyseal Fracture of the Tibia-Experience of 35 cases

2019 ◽  
Vol 32 (1) ◽  
pp. 9-16
Author(s):  
Md Habibul Hasan ◽  
Mohd Alamgir Hossain ◽  
Md Enamul Haque ◽  
Md Ahsanuzaman ◽  
Elora Parveen ◽  
...  
Keyword(s):  
Open Fracture ◽  
Full Range ◽  
Shaft Fracture ◽  
Treatment Modalities ◽  
Soft Tissue Coverage ◽  
Tibial Shaft Fracture ◽  
Diaphyseal Fracture ◽  
Primary Surgery ◽  
Early Return ◽  
Image Intensification

Introduction: Tibia is a subcutaneous bone and is more prone to trauma. Different treatment modalities exist for fracture shaft of the tibia. Intramedullary nailing in the treatment of fractures of the long bones was technically developed and popularized by Küntscher in the 1940’s. Treatment of tibial fracture in adult is a challenge to orthopedic surgeons due to poor soft tissue coverage and blood supply. Materials and methods: This study was prospective and interventional. This study was carried out in the private hospitals in Rajshahi over a period of 3 years. Total 35 patients with tibial shaft fracture were studied. Inclusion criteria were displaced closed diaphyseal fracture shaft of the Tibia, open fracture with Gustillo 1, 2 and 3A attended within 24 hours. Exclusion criteria were patient’s age below 16 years, grossly lacerated fracture, undisplaced fracture, patient unwilling to operate. Thirty three cases were operated within one week only two cases operated at 2 months due to angulations following conservative treatment. Open fracture was fixed within 24-48 hours. Broad spectrum antibiotic injectable Moxifloxacin was used in most of the cases for 2 doses then oral, Injectable Meropenem was used for the open fracture. Those patients suffering from G-3A fracture wound were covered by Hemisoleal flap Two weeks after primary surgery and were uneventful. In most of the cases image intensification was not used only three cases needed image intensification in case the fractures in lower ¼ th of the shaft to see the end of the Nail. Results: Two patients developed postoperative superficial wound infection which was recovered by regular dressing. Only one patient needed post-operative cast support because the fracture was comminuted. All patients started Knee bending from first post-operative day. Full range of knee movement was found in all patients. All fracture united properly within 12 weeks to 22 weeks with mean of 17 weeks. No cases of implant failure detected during the study period. Conclusion: The results of the current study reveal that the reamed interlocking nail in treatment of tibial diaphyseal fracture is safe, easy, successful and preferable method may be recommended as a stable fixation with early return to daily activities. TAJ 2019; 32(1): 9-16

scholarly journals Application of the Distraction Support in Intramedullary Nailing Treatment for Tibial Shaft Fracture: A Randomized Controlled Study

2020 ◽  
Author(s):  
Liwei Yao ◽  
Haijiao Mao ◽  
Zeting Wu ◽  
Dingli Xu ◽  
Wenwei Dong
Keyword(s):  
Blood Loss ◽  
Intramedullary Nailing ◽  
Operative Time ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Controlled Study ◽  
Control Group ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Future Work

Abstract Purpose The aim of this study is to investigate the effectiveness of using a new distraction support in intramedullary nailing treatment for tibial shaft fracture.Methods: Patients at the trauma center who underwent the treatment for tibial shaft fractures from July 2013 to December 2018 were enrolled. The patients were randomized in control group(n=43) and distraction support(SD) group(n=42). All operations were performed by the same senior surgeon. The hospital day, blood loss, operative time, infect rate, delayed union rate and malalignment rate(p=0.68) were obtained for the evaluation.Results: 85 participants were recruited and all cases were achieved the acceptable reduction. The operative time was significantly shorter for DS group than control group (75.3 vs.90.4 p<0.001). Blood loss was significantly lower in the DS group compared to the control group(60.1vs.85.4 p=0.003) . There were no obvious difference about infect rate(p=0.98), delay union(p=0.45), hospital days(p=0.37) and malalignment rate(p=0.68) between the two groups.Conclusion: Distraction support was effective in intramedullary nailing surgery. The application of distraction support may be a useful method in our future work.

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