An Observational Study Assessing the Role of Prophylactic Use of Antibiotic Coated Intramedullary Nail in Treatment of Open Tibia Fractures
Authors/Creators
- 1. Assistant Professor, Department of Orthopaedics, ESIC Medical College and Hospital, Bihta, Bihar, India
- 2. Senior Resident, Department of Orthopaedics, ESIC Medical College and Hospital, Bihta, Bihar, India.
- 3. Associate Professor, Department of Orthopaedics, ESIC Medical College and Hospital, Bihta, Bihar, India.
- 4. Professor & HOD, Department of Orthopaedics, ESIC Medical College and Hospital, Bihta, Bihar, India.
Description
Aim: The aim of the present study was to assess the prophylactic use of antibiotic coated intramedullary nail in treatment of open tibia fractures. Methods: This prospective study was conducted in the Department of Orthopaedics, ESICMCH, Bihta, Bihar, India. 50 patients were treated over a period of 24 months with gentamicin coated tibia interlocking nail after taking written and informed consent. Results: All 50 patients (42 males and 8 females) were followed up for minimum of six months duration. Males were 84% against females 16%. The radiological Union was assessed using RUST Score and maximum patients had score 8. Time taken in wound healing in majority of patients was less than 5 weeks (52%). Average duration of hospital stay was 16 days. Large numbers of patients had fair outcome- 54%. Conclusion: Antibiotic coated tibia interlocking nail is a good treatment option for open tibial fractures, yields good functional outcome with less complications in these fractures and should be used whenever indicated.
Abstract (English)
Aim: The aim of the present study was to assess the prophylactic use of antibiotic coated intramedullary nail in treatment of open tibia fractures. Methods: This prospective study was conducted in the Department of Orthopaedics, ESICMCH, Bihta, Bihar, India. 50 patients were treated over a period of 24 months with gentamicin coated tibia interlocking nail after taking written and informed consent. Results: All 50 patients (42 males and 8 females) were followed up for minimum of six months duration. Males were 84% against females 16%. The radiological Union was assessed using RUST Score and maximum patients had score 8. Time taken in wound healing in majority of patients was less than 5 weeks (52%). Average duration of hospital stay was 16 days. Large numbers of patients had fair outcome- 54%. Conclusion: Antibiotic coated tibia interlocking nail is a good treatment option for open tibial fractures, yields good functional outcome with less complications in these fractures and should be used whenever indicated.
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IJTPR,Vol14,Issue5,Article40.pdf
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Additional details
Dates
- Accepted
-
2024-04-29
Software
References
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