Interlocking nailing of lower limb fractures at the University of Port Harcourt Teaching Hospital
DOI:
https://doi.org/10.60787/tnhj.v21i3.509Keywords:
SIGN, Intramedullary nail, fractures, UPTHAbstract
Introduction: The interlocking intramedullary nail has become the standard treatment for most long-bone diaphyseal and selected metaphyseal fractures. The Surgical Implant Generation Network (SIGN) intramedullary nail is a set designed for use in treating patients in resource poor regions who need, but cannot afford an intramedullary interlocking system.
Aim: To analyze the demographics, pattern of injuries and surgical outcome of patients with lower limb fractures treated with the SIGN interlocking nails at UPTH.
Methods: All patients who had intramedullary nailing of lower limb long bone fractures between March 2013 and March 2016 using the SIGN nails were included in this study. Details on demographics, bone fractured and surgical technique were collected using the SIGN database pro-forma.
Results: Fifty one surgeries were performed on forty eight (48) patients, fourteen females and thirty four males. Male/ female ratio was 2.4/ 1 and ages ranged between 18 to 90 years, the mean age being 38.7 years. Thirty seven patients had femoral fractures (72.5%) while 14 patients had tibial fractures (27.5%), 3 patients had floating knees. Total complication rate was 10.5%, and included two cases of surgical site infection (4.2%), one case of post- operative bleeding and one case each of missed distal interlock and implant failure.
Conclusion: The advantages of interlocking intramedullary nail fixation of long bone diaphyseal fractures have been well documented. The use of an external jig makes distal interlocking possible in areas where image intensifiers are unavailable.
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References
Lewis G. Zirkle Jr. Technique Manual of SIGN IM Nail & Interlocking Screw System Insertion & Extraction Guide, www.sign-post.org; 2008.11.15
Ranjeet N, Sapkota K, Onta P, Thapa P, Thapa UJ, Gupta MK. SIGN Nail Experience in Manipal Teaching Hospital. American Journal of Public Health Research 3, no. 5A (2015): 115-118
Feibel RJ, Zirkle Jr. Use of interlocking intramedullary tibial nails in developing countries. Tech Orthop 2009;24: 233–46.
Lawrence Akinyoola, Olaniran Orekha, Afolabi Odunsi Open intramedullary nailing of neglected femoral shaft fractures: Indications and outcome. Acta Orthop. Belg., 2011; 77: 73-77
Manoj Kumar Chakraborty, Pabin Thapa, Brijesh Sathian ;Surgical Implant Generation Network (SIGN) Solid Intramedullary Interlocking Nail in the Lower Extremity: An Observational Study from Western Nepal ;Journal of Clinical and Diagnostic Research. 2011 December; Vol-5(8): 1614-1617
Bong MR, Kummer FJ, Koval KJ, Egol KA. Intramedullary nailing of the lower extremity: Biomechanics and biology. J Am Acad Orthop Surg 2007 February; 15(2): 97-106.
L. N. Gakuu , Comprehensive global evolution of intramedullary nailing of diaphyseal fractures, East African Orthopaedic Journal 2009; 3: 36-39
Ikpeme Ikpeme, Ngim Ngim, Anthony Udosen, Obiora Onuba, Okokon Enembe, Segun Bello, External jig-aided intramedullary interlocking nailing of diaphyseal fractures: experience from a tropical developing centre, International Orthopaedics (SICOT), 2011; 35:107–111
Ikem IC, Ogunlusi JD, Ine HR, Achieving interlocking nails without using an image intensifier. Int Orthop. 2007 August; 31(4): 487–90. 10. Toivanen JA. The management of closed tibial shaft fractures. Current Orthopaedics 2003;17:167-75
Dahiru IL, Amaefule KE, Lawal YZ, Ogirima MO, Maitama MI, Ejagwulu F, et al. Locked intramedullary nailing for tibial and femoral shaft fractures: Challenges and prospects in a Tertiary Health Care Facility in a resource constraint setting. Arch Int Surg 2016;6:96-9
Koval, Kenneth J.; Clapper, Mark F.; Brumback, Robert J.; Ellison, P. Stribling Jr.; Poka, Attila; Bathon, G. Howard; Burgess, Andrew R, Complications of Reamed Intramedullary Nailing of the Tibia. journal of orthopaedic trauma
FE Ogedegbe, OR Babalola, Outcome of Interlocking Intramedullary Nailing in the Treatment of Diaphyseal Tibial Fractures, Nigerian Journal of Orthopaedics and Trauma Vol 11, No 1 (2012)
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