International Journal of Orthopaedics Sciences

Clinical and radiological outcome of intramedullary nailing in grade I and II (Gustilo-Anderson) compound diaphyseal fractures of tibia

2019, Volume 5 Issue 3

Clinical and radiological outcome of intramedullary nailing in grade I and II (Gustilo-Anderson) compound diaphyseal fractures of tibia

Author(s): T Pradeepkumar, M Chandrasekaran, K Dhiyanesh and R Krishnagopal
Abstract: 
Background: The effectiveness of primary intramedullary nailing in open diaphyseal fractures in tibia is still controversial and the available literature is unclear. We conducted a study to evaluate the functional and radiological results of primary reamed intramedullary nailing in the management of open diaphyseal tibia fractures of Grade I & II (Gustilo-Anderson).
Patients and Methods: This is a prospective study, in which 30 Grade I & II open diaphyseal fractures of tibia who came to our hospital EMS fulfilling Inclusion & Exclusion criteria were included in this study. This study was done from the period of Jan 2017 to Sept 2018. They were evaluated on each follow up clinically by Klemn & Borner Score, radiologically by RUST score and the rate of infection was evaluated using Southampton Score.
Results: The average rate of union in this study was 28.5 weeks. 5 patients developed delayed union out which 4 patients underwent dynamization. There was a significant improvement in all the scores compared to previously availed method of fixation. Factors that influenced infections and delayed union in this study were Grade of injury, Diabetes and the habit of smoking.
Conclusion: Results of our study shared that, primary Intramedullary Nailing in Grade I & II open Diaphyseal fractures of tibia showed earlier fracture union when compared to the historical data on modalities of fixation with lesser infection and non-union rates.
Pages: 263-269  |  1057 Views  113 Downloads
How to cite this article:
T Pradeepkumar, M Chandrasekaran, K Dhiyanesh, R Krishnagopal. Clinical and radiological outcome of intramedullary nailing in grade I and II (Gustilo-Anderson) compound diaphyseal fractures of tibia. Int J Orthop Sci 2019;5(3):263-269. DOI: 10.22271/ortho.2019.v5.i3e.1537
 
International Journal of Orthopaedics Sciences
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