Print ISSN: 1683-3589

Online ISSN: 2409-501X

Keywords : FRACTURE


LOCKING INTRAMEDULLARY NAIL VERSUS PLATE AND SCREWS FOR FIXATION IN TIBIAL DIAPHYSEAL FRACTURE

Ali A Alwan Al-Tamimi; Aram Abdullah Rasheed

Basrah Journal of Surgery, Volume 22, Issue 2, Pages 77-83
DOI: 10.33762/bsurg.2016.116617

Abstract Diaphyseal tibial fracture is the most common fractured long bone because of it is subcutaneous position anteromedially and thinner diaphysis distally. Tibial diaphysis has poor blood supply and poor soft tissue envelope around it so it is more susceptible to infection, delay union, and non-union. For these reasons many modalities including cast and brace, external fixation, plate and screws, and locking intramedullary nail were used for treating diaphyseal tibial fracture. The aim of this study is to compare the outcome of locking intramedullary nail(LIMN) fixation versus plate and screws fixation in treating diaphyseal tibial fracture in term of operation time, early weight bearing, time to union, and complications. The study was carried out in Sulaimaniyah Teaching Hospital, Department of Orthopedics prospectively from May 2010 to July 2014 on 74 patients, 40 of them underwent surgical fixation by locking intramedullary nail (26 close method and 14 by open method), and 34 of them underwent open reduction and internal fixation by plate and screws. The outcome was assessed by clinical and radiological evaluation. The results show that young male are more affected by trauma, and the main mechanism of injury was Road Traffic Accident. Operation time was shorter among plate and screws group with a mean of 51.4±4.9 minutes, than locking intramedullary nail group with a mean of 88.5±12.5 minutes. Weight bearing(WB) time achieved earlier in the locking intramedullary nail group with a mean of 2.6±0.8 weeks than the plate and screws group with a mean of 4.2±1.4 weeks. There were no significant difference between the two groups regarding time to full weight bearing(FWB), time to union, and complications. In conclusion, Locking intramedullary nail and plate fixation are ideal option for treatment of diaphyseal tibial fractures since there were no significant differences between them in time of union and the post-operative complications.

THE EFFECT OF DENERVATION ON FRACTURE HEALING , AN EXPERIMENTAL STUDY ON RABBITS

THAMIR A. HAMDAN; Mubder A Mohammed Saeed; Abbas Salman ISMAEL

Basrah Journal of Surgery, Volume 20, Issue 2, Pages 3-9
DOI: 10.33762/bsurg.2014.98063

THE EFFECT OF DENERVATION ON FRACTURE HEALING , AN EXPERIMENTAL STUDY ON RABBITS
Thamer A Hamdan , Mubder A Mohammed Saeed & Abbas Salman Ismael

Abstract
Many studies suggested a relation between denervation and fracture healing either in positive or negative effect. This is a prospective experimental study on 20 rabbits carried out in the
experimental animal’s research laboratory of Basrah University, Medical College from April 2014 to November 2014 according to ethical rules of institution. They were housed under controlled conditions of temperature and lighting, same diet was given for all animals. The rabbits was divided into two groups; group A with sciatic denervation and fracture of the tibia while group B,
with fracture tibia only. The state of fracture healing was studied radiologically after 4 weeks and histopathologically at 6 weeks.
The results showed significant difference between the two groups, the denervated group had poor fracture healing compared with non denervated group.
In conclusion, denervation affects fracture healing negatively in rabbits.

INTERNAL FIXATION FOR UNSTABLE PELVIC FRACTURE: THE VALUE OF ANTERIOR APPROACH AND SMALL FRAGMENTS BIOSYNTHESIS

Medhat Mohammed Mahdi

Basrah Journal of Surgery, Volume 17, Issue 2, Pages 58-63
DOI: 10.33762/bsurg.2011.55379

Fifty patients with unstable pelvic fracture were subjected to internal fixation through anterior approach by small fragment biosynthesis over sixteen year of experience. Their age, range between 15–45 years. Forty patients were males and ten patient females. Thirty patients with type B rotationally unstable fracture pelvis, 15 patients with type C vertically unstable and 5 patients with combined rotationally and vertically unstable fracture. In type B fracture, 30 patients were surgically approached anteriorly by pfennenstiel incision, while type C (15) patients required ilioinguinal extension to fix anterior and posterior ring. Combined unstable fracture in 5 patients require anterior and posterior approach as two stages surgical exposure with one week interval. It is concluded that anterior approach to displaced pelvic fracture was good and suitable for young and thin patients. In addition anterior ring fixation was the key for anatomical reduction of displaced fracture and horizontal application of small fragment implant across the sacroiliac joint and anterior ring could be achieved and maintain the stability if full weight bearing is delayed to 6 month. Other advantages and limitation of the procedure were discussed.

DRUGS AND FRACTURE HEALING: A REVIEW OF LITERATURE��

Abdullah M Jawad; Riyad A Hussein; Thamer A Hamdan

Basrah Journal of Surgery, Volume 11, Issue 1, Pages 9-19
DOI: 10.33762/bsurg.2005.55410

racture healing is a physiological process by which bone regenerates itself following injury. It occurs through five stages: haematoma, inflammation, callus formation, consolidation and remodeling1,2. These stages are not sharply demarcated and that two or more stages may be seen at same time in different parts of bone3.