Aim and Objectives: The current study was carried out with
the intention of investigating the Primary fracture management with nail and
plate fixation in Gustilo Anderson 3a and 3b with antibiotic cement beads.
Materials and Methods: This study was carried out only after
receiving the patients' permission to do so, which was required by the
institution's Ethical Committee before it could be given the go-ahead for
approval. Participants in the research comprised fifty people who had compound
tibial shaft fractures of Gustilo Type IIIA and IIIB. These fractures were
treated at a tertiary facility using antibiotic-impregnated intramedullary
nails.
Results: Majority of patients in our study with compound
tibia fractures are belonged to male gender. Left sided fractures were more
than right. Majority of fractures in middle and distal third of tibia. There
was Superficial infection in 4 (8.0%) and Deep infection among 2 (4.0%)
patients. The complications reported were Non-union & Nail breakage among 3
(6.0%) cases and Knee stiffness among 1 (2.0%) case.
Conclusion: According to the findings of this research, the
use of intramedullary nails that are coated with gentamicin might be beneficial
in the treatment of high-grade open tibia fractures. Despite the fact that the
number of patients and infections is too low to draw any firm conclusions, the
study did find that there were no severe infections.
Amit Dwivedi,
Santosh Medical College and Hospital, India.
Abhishek Malik,
Santosh Medical College and Hospital, India.
Chetan Raj Singh,
Santosh Medical College and Hospital, India.
Veerendra Mannan,
Santosh Medical College and Hospital, India.
Avishkar,
Santosh Medical College and Hospital, India.
Please see the link here: https://stm.bookpi.org/ANUMS-V2/article/view/13117
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