Assessment of internal fixation outcomes among fractured patient in Mosul City | ||
Mosul Journal of Nursing (Print ISSN: 2311-8784 Online ISSN: 2663-0311) | ||
Article 2, Volume 6, Issue 1, June 2018, Pages 9-16 PDF (597.57 K) | ||
Document Type: Original Articles | ||
DOI: 10.33899/mjn.2018.160077 | ||
Author | ||
Mohammed Tariq Ali | ||
تمریض بالغین / کلیة التمرض/ جامعة الموصل | ||
Abstract | ||
Background and Aim: Internal fixation is a surgical intervention in orthopedics that involves the surgical implementation of doing a manegments and repairing for bone, this concept starting in the mid of 19th century and was made a doable as routine surgical treatment in the mid of20th century , that operation may be made by special equpment like stainless steel or titanium, the study assessed outcome of internal fixation. Material and method: cross-sectional (descriptive) design, 110 patients were participate in this study which conducted at Al – Salam Hospital Teaching and Al- Jumhory Teaching Hospital from 10th December 2013 to 7th April 2014, The study tool composed of three parts; part one demographic characteristics of the patients including age, gender, residence, past history (family history, medical history) and economic status, Part Two; Fractures classification consist of five items; types of fractures location of fracture mechanism of trauma, duration of internal fixation and Part Three(Internal fixation outcome)consist of three items (complete healing without complication, failure of internal fixation, delayed definitive fixation). Results:80.9 of patients was suffering from complete fracture, Femur was the most commonly location of fracture which constitute 56.3% of patients, the majority of fractures were caused by blunt and motor vehicle collisions constitute 40.9% and 31.8% respectively. More than half of the patients were achieved internal fixation without complications while 43.8% of patients were suffered from joint stiffness more than one month post-operatively. Conclusion: rigged internal fixation lead to good healing therefore more than half of patients was completely healing with variation in time, while failure of internal fixation was about quarter of study sample caused by complication. Recommendation: Encourage to use internal fixation procedure less than 30 days after fractures and applying internal fixation for more than one year to avoid nonunion complication. Keyword : Internal fixation , Outcome , Assessment , Fracture . | ||
Keywords | ||
Internal fixation; Outcome; assessment; Fracture | ||
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References | ||
B. Widjaja MB BS; K. Eng MB BS; J. Griffiths MB BS, FRACS. (2007) complications of internal fixation in paediatric fractures. ANZ Journal of Surgery, 10(77), P. 873-876.
Daniel, J., Stinner, M.D., James A., Keeney, M.D., Joseph R. (2008). Outcomes of Internal Fixation in a Combat Environment. Southern Orthopaedic Association, 19(1), P. 50-52.
Deepak. M. K., Karun J., Kumardev A., Rajamanya, Pratik R., Gandhi, C. S., Rupakumar. R., Ravishankar. (2010). Functional outcome of diaphyseal fractures of femur managed by closed intramedullary interlocking nailing in adults, Annals of African Medicine, (11), P.54-56.
Dorothy B. Liddel, 2010. Medical surgical nursing, Musculoskeletal disorders. (11th ed), P. 1943- 1955.
Felix Senzighe Mrita.(2012). Short-Term Outcome of Patients With Closed Comminuted Femoral Shaft Fracture Treated With Locking Intramedullary Sign Nail At Muhimbili Orthopaedic Institute (MOI), Master of Medicine in Orthopaedics, P. 23-29. http://en.wikipedia.org/wiki/Outcomes.
Judith A and Babara W. (2005). Community health nursing. Definition of terms. (6th ed). Lippincott Williams & Wilkins; 157.
Marshall. S.T. and Browner B.D. (2012). Emergency care of musculoskeletal injuries. In Courtney M. Townsend Jr. Sabiston textbook of surgery: the biological basis of modern surgical practice. Elsevier, pp. 480–520.
MedicineNet.com URL: http:// www.medterms.com/script/main/art.asp? Article key=13714 Accessed 9 January 2010.
Mendelsohn, E.S Hoshino, C.M., Harris, T.G., Zinar, D.M. (2012). The effect of obesity on early failure after operative syndesmosis injuries, 27(4):201-6.
Mian, A., Syed, A. H., Muhammad, S. K., (2008). Evaluation of Results of Interlocking Nails in Femur Fractures due to High Velocity Gunshot Injuries. J Ayub Med Coll Abbottabad, 20(1); P.16-19.
Schlich. T. (2002) Surgery, Science and Industry. A Revolution in Fracture Care, 1950s-1990s (Houndsmills, Basingstoke: Palgrave).
Song, K. S., Kang, C. H., Min, B. W., Bae, K. C., Cho, C. H., Lee, J. H. (2008). "Closed Reduction and Internal Fixation of Displaced Unstable Lateral Condylar Fractures of the Humerus in Children". The Journal of Bone and Joint Surgery 90 (12), 2673–2681. doi:10.2106/JBJS.G.01227. PMID 19047713.
Sterens D.G., Behary .R., Mckee M.D., et al. (2001). The long-terms functional outcome of operativerly treated tibial plateau fractures. J Orthop Trauma, 15. P. 312-320.
Whittle A.P. (2008). Fracture of the lower extremity In: Canale ST, Beaty JH, editors. Campbell’s operative orthopaedics. (11th ed). Philadelphia: Mosby publishers, p. 3190-2
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