Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria
Abstract Wage earning in low- and middle-income countries (LMICs) is predominantly through physical labour. Consequently, limb-related disabilities caused by abnormal fracture unions (AFUs) preclude gainful employment and perpetuate the cycle of poverty. Many AFUs result from traditional bone-settin...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-12-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-25862-3 |
| _version_ | 1797980350797840384 |
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| author | Stephen Adesope Adesina Samuel Uwale Eyesan Isaac Olusayo Amole Akinsola Idowu Akinwumi Olufemi Timothy Awotunde Adewumi Ojeniyi Durodola James Idowu Owolabi |
| author_facet | Stephen Adesope Adesina Samuel Uwale Eyesan Isaac Olusayo Amole Akinsola Idowu Akinwumi Olufemi Timothy Awotunde Adewumi Ojeniyi Durodola James Idowu Owolabi |
| author_sort | Stephen Adesope Adesina |
| collection | DOAJ |
| description | Abstract Wage earning in low- and middle-income countries (LMICs) is predominantly through physical labour. Consequently, limb-related disabilities caused by abnormal fracture unions (AFUs) preclude gainful employment and perpetuate the cycle of poverty. Many AFUs result from traditional bone-setting (TBS), a pervasive treatment for long bone fractures in LMICs. The objective of this study was to accentuate the expediency of solid locked intramedullary nail in the early restoration of victims of TBS-induced abnormal fracture unions (AFUs) to their pre-injury functioning, including work. One hundred AFUs in 98 patients treated with a solid locked intramedullary nail in our center over a period of 7 years were prospectively studied. We found the mean age to be 47.97 years. Males constituted 63.9% of the patients’ population. Atrophic non-union accounted for 54.1% of the AFUs. The mean fracture-surgery interval was 21.30 months. By the 12th post-operative week, more than 75% of the fractures had achieved knee flexion/shoulder abduction beyond 90°, were able to squat and smile (or do shoulder abduction-external rotation), and were able to bear weight fully. The study demonstrated the expediency of solid locked nail in salvaging TBS-induced abnormal fracture unions in a way that permitted early return to pre-injury daily activities and work, thereby reducing fracture-associated poverty. |
| first_indexed | 2024-04-11T05:54:10Z |
| format | Article |
| id | doaj.art-4ecb059974ef4bf9b82c496094542461 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T05:54:10Z |
| publishDate | 2022-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-4ecb059974ef4bf9b82c4960945424612022-12-22T04:41:58ZengNature PortfolioScientific Reports2045-23222022-12-011211910.1038/s41598-022-25862-3Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western NigeriaStephen Adesope Adesina0Samuel Uwale Eyesan1Isaac Olusayo Amole2Akinsola Idowu Akinwumi3Olufemi Timothy Awotunde4Adewumi Ojeniyi Durodola5James Idowu Owolabi6Department of Family Medicine, Bowen University Teaching HospitalDepartment Surgery, Bowen University Teaching HospitalDepartment of Family Medicine, Bowen University Teaching HospitalDepartment of Family Medicine, Afe Babalola UniversityDepartment of Family Medicine, Bowen University Teaching HospitalDepartment of Family Medicine, Bowen University Teaching HospitalDepartment Surgery, Bowen University Teaching HospitalAbstract Wage earning in low- and middle-income countries (LMICs) is predominantly through physical labour. Consequently, limb-related disabilities caused by abnormal fracture unions (AFUs) preclude gainful employment and perpetuate the cycle of poverty. Many AFUs result from traditional bone-setting (TBS), a pervasive treatment for long bone fractures in LMICs. The objective of this study was to accentuate the expediency of solid locked intramedullary nail in the early restoration of victims of TBS-induced abnormal fracture unions (AFUs) to their pre-injury functioning, including work. One hundred AFUs in 98 patients treated with a solid locked intramedullary nail in our center over a period of 7 years were prospectively studied. We found the mean age to be 47.97 years. Males constituted 63.9% of the patients’ population. Atrophic non-union accounted for 54.1% of the AFUs. The mean fracture-surgery interval was 21.30 months. By the 12th post-operative week, more than 75% of the fractures had achieved knee flexion/shoulder abduction beyond 90°, were able to squat and smile (or do shoulder abduction-external rotation), and were able to bear weight fully. The study demonstrated the expediency of solid locked nail in salvaging TBS-induced abnormal fracture unions in a way that permitted early return to pre-injury daily activities and work, thereby reducing fracture-associated poverty.https://doi.org/10.1038/s41598-022-25862-3 |
| spellingShingle | Stephen Adesope Adesina Samuel Uwale Eyesan Isaac Olusayo Amole Akinsola Idowu Akinwumi Olufemi Timothy Awotunde Adewumi Ojeniyi Durodola James Idowu Owolabi Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria Scientific Reports |
| title | Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria |
| title_full | Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria |
| title_fullStr | Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria |
| title_full_unstemmed | Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria |
| title_short | Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria |
| title_sort | solid locked intramedullary nailing for expeditious return of bone setting induced abnormal fracture union victims to work in south western nigeria |
| url | https://doi.org/10.1038/s41598-022-25862-3 |
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