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Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 22-24 | Yashwant J. Mahale, Vikram V. Kadu. doi-10.13107/ti.2018.v04i01.061 Author: Yashwant J. Mahale [1], Vikram V. Kadu [1]. [1] ACPM Medical College , Dhule – 424001 , Maharashtra India. [2] Mahale Accident Hospital , Dhule, Maharashtra India. Address of Correspondence Dr. Vikram V Kadu, […]

Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 18-21 | Clevio Desouza,Vinod Nair, Amit Chaudhary, Harshal Hurkat, Shiju George. Author: Clevio Desouza [1],Vinod Nair [1], Amit Chaudhary [1], Harshal Hurkat [1], Shiju George [1]. [1] Department of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India. Address of Correspondence Dr. Clevio Desouza, Department of […]

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

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Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 22-24 | Yashwant J. Mahale, Vikram V. Kadu.

doi-10.13107/ti.2018.v04i01.061

Author: Yashwant J. Mahale [1], Vikram V. Kadu [1].

[1] ACPM Medical College , Dhule – 424001 , Maharashtra India.
[2] Mahale Accident Hospital , Dhule, Maharashtra India.

Address of Correspondence
Dr. Vikram V Kadu,
C/O Vilas Shamrao Kadu, Plot no. 20, Kadu House, Barde layout, Katol Road, Nagpur – 440013
Email: vikram1065@gmail.com

Abstract

Introduction: Inter-trochanteric fractures are disabling injuries that most commonly affect the elderly
population. These fractures have a tremendous impact on both the health care system and society in general. These fractures can be managed by conservative methods, but mal-union and complications of prolonged immobilization is the result. Thus, surgery by internal fixation is the ideal choice. DHS was the gold standard treatment for inter trochanteric fractures before intra-medullary devices were developed. These devices have the advantage of shorter lever arm causing less tensile strain on the implant, controlled fracture impaction due to incorporation of sliding hip screw, shorter operative duration and less soft tissue dissection. In view of these considerations, present study is taken up to assess the outcome in terms of adequacy of fixation and results.
Methods: This is a retrospective study including 40 patients of unstable inter-trochanteric fracture treated with trochanteric fixation nail. Mean age group of patient was 61.78 years.
Results: Functional results were assessed in all 40 cases at follow up. Excellent results were noted in 27 cases, good in 10, fair in 3 and none had poor result. Anatomical results were assessed by presence or absence of shortening and range of movements.
Conclusion: The trochanteric fixation nail is a good minimally invasive implant for unstable inter-trochanteric fracture with less blood loss and soft tissue damage.
Keywords: Unstable inter-trochanteric fractures, shortening, trochanteric fixation nail.

References

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How to Cite this article: Mahale YJ, Kadu V. Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail.. Trauma International May-Aug 2018;4(1):22-24.

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Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 18-21 | Clevio Desouza,Vinod Nair, Amit Chaudhary, Harshal Hurkat, Shiju George.

Author: Clevio Desouza [1],Vinod Nair [1], Amit Chaudhary [1], Harshal Hurkat [1], Shiju George [1].

[1] Department of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Clevio Desouza,
Department of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India.
E-mail: ceviod@gmail.com

Abstract

Introduction: The infection of long bones along with its nonunion is a chronic and debilitating disorder. It becomes difficult to deal with the situation in which the implant which is used for internal fixation itself becomes a potential media for infection because of the formation of biofilms and adhesions. Traditionally, this situation is managed by a two-stage procedure for controlling the infection first and then treating the nonunion. This study has been undertaken to explore antibiotic cement-coated nailing as a single stage treatment modality for achieving stability and treating of the infection at the same time.
Materials and Methods: 20 patients (above 18years of age) with nonunion of tibia associated with infection with bone gap <2 cm were managed using antibiotic cement-coated Kuntscher nail. Antibiotics used were a combination of vancomycin and teicoplanin.
Results: Infection was controlled in 95% of the patients. Bony union was achieved in 12 of 20 (60%) patients with antibiotic cement nailing as the only procedure with average time of union of 32 weeks. Bone grafting or exchange nailing type additional procedures were required in the remaining eight patients, and this was done in six patients, with union of the fracture. Two patients refused to undergo further procedures. The various complications encountered during this study were difficult nail removal in three cases, broken nail in two cases, and bent nail in 1 case. Recurrence of infection was observed in two patients. The average period of follow-up was 12 months.
Conclusion: Antibiotic cement impregnated nailing is a simple, economical, and effective single-stage procedure for the management of infected nonunion of the tibia. It has many advantages over external fixators, as it eliminates the complications and has good patient compliance. The method utilizes existing easily available instrumentation and is technically demanding and therefore can be performed at any hospital.
Keywords: Nonunion, infected, antibiotic, cement, nailing.

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How to Cite this article: Desouza C, Nair V, Chaudhary A, Hurkat H, George S. Role of Antibiotic Cement-coated Nailing in InfectedNonunion of Tibia. Trauma International May-Aug 2018;4(1):18-21.

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Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

Full Sized Blog Element (Big Preview Pic)

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Author: Yashwant J. Mahale [1], Vikram V. Kadu [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia

Author: Clevio Desouza [1],Vinod Nair [1], Amit Chaudhary [1], Harshal Hurkat [1], Shiju George [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

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