Outcome analysis of internal fixation of fractures with musculo skeletal infective foci elsewhere in the body

Syed Naser, S (2015) Outcome analysis of internal fixation of fractures with musculo skeletal infective foci elsewhere in the body. Masters thesis, Madras Medical College, Chennai.

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Abstract

AIM AND OBJECTIVE : To evaluate the outcome of internal fixation of closed fractures with musculoskeletal infective foci elsewhere in the body. This study will provide possible variations in the outcome of this study. METHODS : This is a retrospective cum prospective analytical study in 15 patients presented with closed fractures with musculoskeletal infective foci elsewhere admitted in Institute of Orthopaedics & Traumatology, Madras Medical College , Rajiv Gandhi Govt General Hospital, Chennai from July 2013 to Aug 2014. This study applies strict inclusion and exclusion criteria’s with recommended guidelines of treatment. Pre and post operatively, both C R P & E S R values were obtained and interpretated. Wound swab culture and sensitivity was done at pre operatively and post operatively. Appropriate antibiotics were given at pre operatively and post operatively. Fracture fixation by open surgical methods is done to obtain anatomical restoration of articular surface & acceptable reduction of the fracture fragments. RESULTS : In our study, outcome analysis of internal fixation for fifteen (15) patients were analysed. Organisms found in infective focus are not seen at surgical site, which was confirmed by drain tip swab culture & sensitivity after 2nd POD. Post operatively all patients showed CRP value < 6 at 4th POD & end of the 4th Week( 28th day), Though we are able to isolate the organisms from the distal musculoskeletal infective foci pre operatively, there was no superficial surgical site infection as well as post operative implant related infection from the distal musculoskeletal infective foci. CONCLUSION : A short term follow up of our study results have encouraged us in preferring the surgical management of fractures with musculoskeletal infective foci elsewhere in the body with proper pre op planning. From our study, irrespective of the wound status with the recommended normal value of c reactive protein, outcome of internal fixation of closed fractures were found to be safe and effective.

Item Type: Thesis (Masters)
Uncontrolled Keywords: internal fixation of fractures ; musculo skeletal infective foci elsewhere ; body.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 25 Sep 2017 01:04
Last Modified: 25 Sep 2017 01:04
URI: http://repository-tnmgrmu.ac.in/id/eprint/3307

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