Anand Kumar, R (2020) A Prospective study on Clinical, Functional and Radiological Outcome of Compound Both Bone Leg Fractures Managed with Versatile Antibiotic Intramedullary Inter Locking Nailing. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
INTRODUCTION: Tibial fractures are the most common long bone fractures in the body of which 25- 40% are compound tibia fractures. In compound fractures, where there is no significant bone loss and the grade of wounds is borderline there is a considerable debate whether to go for definitive primary internal fixation or staged procedures. External fixators in compound fractures are only for soft tissue management requiring secondary definitive procedure for bony union and carries high risk for infection. To overcome all these difficulties, we attempted a novel way in preventing infection, antibiotic delivery and definitive fixation in a single staged procedure. AIM OF THE STUDY: To study the clinical, functional and radiological outcome of compound both bone leg fractures managed with Versatile Antibiotic Intramedullary Interlocking Nailing system. MATERIALS AND METHODS: A Prospective study conducted at Department of Orthopaedics, Government Kilpauk Medical College and Hospital, Chennai. Duration of the study was 1 year involving 24 cases of compound tibia fractures of Grade (1, 2, 3A, 3B Gustilo Anderson). Radiological outcome assessed using RUST Score. RESULTS: Out of 24 cases only 4 cases developed infection. Exchange nailing has been done for two cases. In our study, duration of bony union was significantly shorter as well as overall complication were significantly lower when compared to other procedure like secondary nailing followed external fixation and antibiotic coated nail. CONCLUSION: VAIL Nailing, till now given promising solution in management of compound fractures in our study. Further improvement and studies will definitely bring better outcome. Prophylactic primary antibiotic nailing in all compound fractures will decrease mortality, morbidity and economic burden to the patient.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221712151 |
| Uncontrolled Keywords: | Clinical, Functional and Radiological Outcome, Compound Both Bone Leg Fractures, Versatile Antibiotic Intramedullary Inter Locking Nailing. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 13 Feb 2021 15:27 |
| Last Modified: | 13 Feb 2021 15:27 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14114 |
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