Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures
Objective: To compare the frequency of various post-operative complications in open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures. Study Design: Comparative prospective study. Settings: Orthopedic Surgery Department, Khairpur Medical College, Khairpur M...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2021-09-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1697 |
| _version_ | 1828865917808803840 |
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| author | Abdul Rasheed Napar |
| author_facet | Abdul Rasheed Napar |
| author_sort | Abdul Rasheed Napar |
| collection | DOAJ |
| description | Objective: To compare the frequency of various post-operative complications in open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures.
Study Design: Comparative prospective study.
Settings: Orthopedic Surgery Department, Khairpur Medical College, Khairpur Mirs.
Study Duration: 1st February 2019 till 30 June 2020.
Materials and Methods: Hundred and seventy patients selected for this study were divided into Group C (Closed percutaneous) and group O (Open). A closed percutaneous procedure was performed through a small stab incision. Reduction and stabilization of fracture were accomplished with large forceps and manual traction. Open reduction was achieved through an adequate incision for exposure and then directly reducing the fracture. The reduction was maintained with the help of clamps. Follow-ups were carried out to look for surgical site infection, deep infection, mal-union, delayed union and nonunion, iatrogenic nerve injury.
Results: Surgical site infection was seen in 5 (5.88%) patients in group C and 9 (10.58%) in group O (p-value=0.404). Deep infection was seen in 3 (3.53%) patients in group C and 7 (8.34%) in group O (p-value=0.329). Mal-union was seen in 4 (4.71%) and 2 (2.35%) patients in group C and O respectively (p-value=0.682). Delayed union was seen in 4 (4.71%) and 3 (3.53%) patients in group C and O respectively (p-value=1.0). Non-union was seen in 2 (2.35%) and 1 (1.18%) patients in group C and O respectively (p-value=1.0). Iatrogenic nerve injury was not seen in either group.
Conclusion: It is concluded in our study that there is no significant difference in the rate of post-operative complications in open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures. |
| first_indexed | 2024-12-13T04:39:11Z |
| format | Article |
| id | doaj.art-3dadcda089e74afd91b520e81234c991 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-13T04:39:11Z |
| publishDate | 2021-09-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-3dadcda089e74afd91b520e81234c9912022-12-21T23:59:21ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702021-09-0125310.37939/jrmc.v25i3.1697Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft FracturesAbdul Rasheed Napar0Khairpur Medical College, Khairpur Mir'sObjective: To compare the frequency of various post-operative complications in open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures. Study Design: Comparative prospective study. Settings: Orthopedic Surgery Department, Khairpur Medical College, Khairpur Mirs. Study Duration: 1st February 2019 till 30 June 2020. Materials and Methods: Hundred and seventy patients selected for this study were divided into Group C (Closed percutaneous) and group O (Open). A closed percutaneous procedure was performed through a small stab incision. Reduction and stabilization of fracture were accomplished with large forceps and manual traction. Open reduction was achieved through an adequate incision for exposure and then directly reducing the fracture. The reduction was maintained with the help of clamps. Follow-ups were carried out to look for surgical site infection, deep infection, mal-union, delayed union and nonunion, iatrogenic nerve injury. Results: Surgical site infection was seen in 5 (5.88%) patients in group C and 9 (10.58%) in group O (p-value=0.404). Deep infection was seen in 3 (3.53%) patients in group C and 7 (8.34%) in group O (p-value=0.329). Mal-union was seen in 4 (4.71%) and 2 (2.35%) patients in group C and O respectively (p-value=0.682). Delayed union was seen in 4 (4.71%) and 3 (3.53%) patients in group C and O respectively (p-value=1.0). Non-union was seen in 2 (2.35%) and 1 (1.18%) patients in group C and O respectively (p-value=1.0). Iatrogenic nerve injury was not seen in either group. Conclusion: It is concluded in our study that there is no significant difference in the rate of post-operative complications in open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures.https://www.journalrmc.com/index.php/JRMC/article/view/1697Closed percutaneous nailingOpen intramedulary nailingPost-operaive complicationsTibial shaft fracture |
| spellingShingle | Abdul Rasheed Napar Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures Journal of Rawalpindi Medical College Closed percutaneous nailing Open intramedulary nailing Post-operaive complications Tibial shaft fracture |
| title | Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures |
| title_full | Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures |
| title_fullStr | Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures |
| title_full_unstemmed | Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures |
| title_short | Comparison of Open versus Closed Reduction and Intramedullary Nailing in cases of Closed Tibial Shaft Fractures |
| title_sort | comparison of open versus closed reduction and intramedullary nailing in cases of closed tibial shaft fractures |
| topic | Closed percutaneous nailing Open intramedulary nailing Post-operaive complications Tibial shaft fracture |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1697 |
| work_keys_str_mv | AT abdulrasheednapar comparisonofopenversusclosedreductionandintramedullarynailingincasesofclosedtibialshaftfractures |