Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria
Aims and Objectives: This included determining aetiology of failure and comparing the failure rate in implant fixations using solid intramedullary nail and DCP. Patients and methods: A retrospective study conducted at the Orthopaedic Department, Obafemi Awolowo University Teaching Hospital, Ile-If...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Nigerian Postgraduate Medical Journal |
| Subjects: | |
| Online Access: | http://www.npmj.org/article.asp?issn=1117-1936;year=2014;volume=21;issue=2;spage=181;epage=184;aulast=Esan |
| _version_ | 1818492595731431424 |
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| author | O Esan I C Ikem E A Orimolade O T Esan |
| author_facet | O Esan I C Ikem E A Orimolade O T Esan |
| author_sort | O Esan |
| collection | DOAJ |
| description | Aims and Objectives: This included determining aetiology of failure and comparing the failure rate in implant fixations using solid intramedullary nail and DCP.
Patients and methods: A retrospective study conducted at the Orthopaedic Department, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. Records of all operated cases of lower limb long bone diaphyseal fractures including those with failed fixations from August 2006-July 2011 were reviewed. Data retrieved included type of implant used, aetiology and characteristics of Implant failure. Data were analysed using SPSS version 16. Frequency distribution of the variables of interest was done. Difference in failure rate of intramedullary nail versus DCP was tested using chi-square. Statistical significance was inferred at p<0.05.
Results: A total of 280 patients were studied out of which two hundred and twenty-one patients had long bone diaphyseal fractures and met inclusion criteria, of which 135 had intramedullary nail fixation and 86 had DCP. The rate of implant failure in intramedullary nail was 1.5% while it was 5.8% in patients with DCP (p=0.113; 0R=4.10; 95% CI=0.65- 43.77). Implant fracture was the commonest type of failure seen (100% versus 60%) and non union was the commonest cause of failure seen (50% versus 40%) in the intramedullary nailing and DCP groups respectively.
Conclusion:The likelihood of a failed implant is higher in fixations done with DCP compared with intramedullary nail though the difference was not statistically significant. Commonest reason for failure in both groups was non-union. Findings from this study may guide surgeons in choice of implant in the management of long bone fractures. |
| first_indexed | 2024-12-10T17:45:13Z |
| format | Article |
| id | doaj.art-f831d62329254ca5875ad84f3a5a5215 |
| institution | Directory Open Access Journal |
| issn | 1117-1936 2468-6875 |
| language | English |
| last_indexed | 2024-12-10T17:45:13Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Postgraduate Medical Journal |
| spelling | doaj.art-f831d62329254ca5875ad84f3a5a52152022-12-22T01:39:16ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752014-01-01212181184Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, NigeriaO EsanI C IkemE A OrimoladeO T EsanAims and Objectives: This included determining aetiology of failure and comparing the failure rate in implant fixations using solid intramedullary nail and DCP. Patients and methods: A retrospective study conducted at the Orthopaedic Department, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. Records of all operated cases of lower limb long bone diaphyseal fractures including those with failed fixations from August 2006-July 2011 were reviewed. Data retrieved included type of implant used, aetiology and characteristics of Implant failure. Data were analysed using SPSS version 16. Frequency distribution of the variables of interest was done. Difference in failure rate of intramedullary nail versus DCP was tested using chi-square. Statistical significance was inferred at p<0.05. Results: A total of 280 patients were studied out of which two hundred and twenty-one patients had long bone diaphyseal fractures and met inclusion criteria, of which 135 had intramedullary nail fixation and 86 had DCP. The rate of implant failure in intramedullary nail was 1.5% while it was 5.8% in patients with DCP (p=0.113; 0R=4.10; 95% CI=0.65- 43.77). Implant fracture was the commonest type of failure seen (100% versus 60%) and non union was the commonest cause of failure seen (50% versus 40%) in the intramedullary nailing and DCP groups respectively. Conclusion:The likelihood of a failed implant is higher in fixations done with DCP compared with intramedullary nail though the difference was not statistically significant. Commonest reason for failure in both groups was non-union. Findings from this study may guide surgeons in choice of implant in the management of long bone fractures.http://www.npmj.org/article.asp?issn=1117-1936;year=2014;volume=21;issue=2;spage=181;epage=184;aulast=Esanintramedullary naildynamic compression plateimplant failure |
| spellingShingle | O Esan I C Ikem E A Orimolade O T Esan Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria Nigerian Postgraduate Medical Journal intramedullary nail dynamic compression plate implant failure |
| title | Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria |
| title_full | Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria |
| title_fullStr | Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria |
| title_full_unstemmed | Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria |
| title_short | Implant failure in lower limb long bone diaphyseal fractures at a Tertiary Hospital in Ile- Ife, Nigeria |
| title_sort | implant failure in lower limb long bone diaphyseal fractures at a tertiary hospital in ile ife nigeria |
| topic | intramedullary nail dynamic compression plate implant failure |
| url | http://www.npmj.org/article.asp?issn=1117-1936;year=2014;volume=21;issue=2;spage=181;epage=184;aulast=Esan |
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