Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 23739
FLEXIBLE INTRAMEDULLARY NAILS(ENDERS NAIL) IN THE TREATMENT OF
TYPE III B TIBIAL DIAPYSEAL FRACTURES.
PRAKASH PATIL, JOSE PAPPANACHERRY
MEDICAL TRUST HOSPITAL, KOCHI (INDIA)
Background : There are 60 fatal accidents/10,000 vehicles per year in India as
compared to 2-3 fatal accidents/10,000 vehicles per year in developed countries . In
this context, the evaluation of the role of flexible Intramedullary (Enders) nails in
primary stabilization of open type III B fractures of the tibial diaphysis was necessary
in a country like ours where resources are limited.Methods: This study was
conducted in Medical Trust Hospital, Kochi, Kerala,India. Included 29 patients with
open type III B tibial diaphyseal fractures admitted between June 2003 to June 2007.
After primary debridement, all cases were stabilized by using Enders nail.Soft tisue
coverage done by plastic surgeonResults: 6 cases (20.68%) had superficial
infections .1 case (3.44%) had deep infection . 1 case (3.44%) had fat embolism, and
1 case (3.44%) had ARDS . Out of 29 cases, 2 lost to follow up. So we were having
27 cases for definitive procedure.Exchange nailing was done in 20 (74.07%) patients.
2 cases (7.4 %) were treated with Ilizarov ring fixator device.1 case got infected after
bone grafting, later converted to Ilizarov fixator.1 case (3.7%) was converted to
external fixator and cast treatment.3 cases united with Enders nail.None required
amputation.Conclusions: Our results show that Enders nailing for type III B open
tibial shaft fractures can be carried out safely and effectively by an experienced
surgical team with decreased infection rates and satisfactory outcomes.
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