Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Poster Topic: Trauma - Tibia/Fibula Abstract number: 25695 OSTEOSYNTHESIS OF LONG TUBULAR BONES FOR FRACTURE CONSEQUENCES WITH HYDRAULICALLY EXPANDABLE NAIL (HEN) Victor VOLOSHIN, Gennadiy ONOPRIENKO, Vladimir ZUBIKOV, Konstantin SHEVYREV, Saravanan ARUMUGAM M.F. Vladimirskiy Moscow regional clinical research institute, Moscow (RUSSIA) Aim: To analyze the effectiveness of using HEN during fracture consequences.Material and methods: 37 patients underwent surgery with HEN from the age of 19 to 51 years. The following are the segments where we used HEN: Humerus 2, Femur 16, Tibia 19. HEN was used in 30 patients with old and nonunion fractures, in 5 patients after correcting osteotomy and in 3 patients with infected, non-union fractures. In 30% of patients osteosynthesis with HEN was performed at the ishtmal/osteotomy/fracture nonunion regions and the other 70% of osteosynthesis was performed at supra or sub-isthmal region of the long bones. Auto bone grafting was performed with HEN in 12 patients with hypotropic pseudoarthrosis.Results:Post operative follow up time was vaeried up to 2 yrs. In 23 patients, the complete clinical and radiological consolidation was achieved. The other patients are now under follow-up with good radiological prognosis.Summary: The following advantages are we observed: It reduces operation time, intra-/post operative blood loss, radiation to the patient and the medical personals. We noticed that stability of fixation with HEN is identical or more than the fixation stability of conventional blocking nails during osteoporosis, supra and sub-isthmal fractures and non-union. The stable fixation allowed us to activate the patient in the early post operative period which is especially important to the patients with juxta-articular fractures. 610
Poster Topic: Trauma - Tibia/Fibula Abstract number: 25807 COMPLICATIONS AND OUTCOMES OF THE VERSANAIL (DEPUY) TIBIAL NAILING SYSTEM Peter RALTE, Kumar GUNASEKARAN, Peter HUBKA, Renga SUBRAMANIAN, Mysore MADHUSUDAN, Syam MORAPUDI, Raja RATNAM, Mohammad WASEEM Macclesfield District General Hospital, Macclesfield (UNITED KINGDOM) PURPOSE: To assess the outcomes of tibial shaft fractures treated with Versanail (DePuy). METHODS & MATERIALS: Between July 2006 and April 2009 44 tibial shaft fractures were treated with the Versanail (Depuy) reamed interlocking tibial nail system. There were 30 men and 14 women with an average age of 39.9 years. The most common mechanism of injury was a mechanical fall followed by various sports related injuries. Most fractures occurred at the junction of the middle and distal third of the tibia (30, 69.8%). Comminution of the tibia was seen in 14 (32.6%) cases of which 4 were segmental fractures. Associated fibula fracture was seen in 38 (86.4%) cases. There were 10 (23.3%) open fractures. The AO type A1.2 was the most common fracture pattern seen.RESULTS: Average time to full weight bearing was 3.1 months and the average time to union was 6.0 months. Delayed union was encountered in 6 patients (13.6%) and in all cases fracture union was achieved following dynamisation performed at an average of 5.2 months post procedure. Discomfort due to locking screw irritation was encountered in 5 (11.6%) cases which resolved following removal of the offending screw(s). Wound infection was identified in 3 patients (7%). One patient underwent removal of metalwork at 11.4 months post procedure due to anterior knee pain caused by a proximally protruding nail. Two patients, both with Gustilo-Anderson type 3b injuries required skin grafting.DISCUSSION: Anterior knee pain following tibial nailing has a reported incidence of 56 69% however our study only demonstrated 1 (2.3%) such case. Discomfort due to locking screw irritation was common (5, 11.6%). Other well known complications such as compartment syndrome, fat embolism and deep vein thrombosis were not encountered in our study. 611
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Poster<br />
Topic: Trauma - Tibia/Fibula<br />
Abstract number: 25807<br />
COMPLICATIONS AND OUTCOMES OF THE VERSANAIL (DEPUY) TIBIAL<br />
NAILING SYSTEM<br />
Peter RALTE, Kumar GUNASEKARAN, Peter HUBKA, Renga SUBRAMANIAN,<br />
Mysore MADHUSUDAN, Syam MORAPUDI, Raja RATNAM, Mohammad WASEEM<br />
Macclesfield District General Hospital, Macclesfield (UNITED KINGDOM)<br />
PURPOSE: To assess the outcomes of tibial shaft fractures treated with Versanail<br />
(DePuy). METHODS & MATERIALS: Between July 2006 and April 2009 44 tibial<br />
shaft fractures were treated with the Versanail (Depuy) reamed interlocking tibial nail<br />
system. There were 30 men and 14 women with an average age of 39.9 years. The<br />
most common mechanism of injury was a mechanical fall followed by various sports<br />
related injuries. Most fractures occurred at the junction of the middle and distal third<br />
of the tibia (30, 69.8%). Comminution of the tibia was seen in 14 (32.6%) cases of<br />
which 4 were segmental fractures. Associated fibula fracture was seen in 38 (86.4%)<br />
cases. There were 10 (23.3%) open fractures. The AO type A1.2 was the most<br />
common fracture pattern seen.RESULTS: Average time to full weight bearing was<br />
3.1 months and the average time to union was 6.0 months. Delayed union was<br />
encountered in 6 patients (13.6%) and in all cases fracture union was achieved<br />
following dynamisation performed at an average of 5.2 months post procedure.<br />
Discomfort due to locking screw irritation was encountered in 5 (11.6%) cases which<br />
resolved following removal of the offending screw(s). Wound infection was identified<br />
in 3 patients (7%). One patient underwent removal of metalwork at 11.4 months post<br />
procedure due to anterior knee pain caused by a proximally protruding nail. Two<br />
patients, both with Gustilo-Anderson type 3b injuries required skin<br />
grafting.DISCUSSION: Anterior knee pain following tibial nailing has a reported<br />
incidence of 56 69% however our study only demonstrated 1 (2.3%) such case.<br />
Discomfort due to locking screw irritation was common (5, 11.6%). Other well known<br />
complications such as compartment syndrome, fat embolism and deep vein<br />
thrombosis were not encountered in our study.<br />
611
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