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VOL. 3, ISSUE 1 (2021)
Management of non union of diaphysis of long bones by dual fixation technique
Authors
S Jawahar, R N Suresh Kumar, T Senthil Kumar
Abstract
Background: Failure of fracture union occurs most commonly due to instability at the fracture site. Improving the mechanical stability of fixation is the key to achieve good fracture union. Accurate fracture reduction and absolute stability can be achieved in difficult fracture patterns by using an unique fixation technique. Dual fixation with plates or intra-medullary nailing with augmentation plating can give good union rates when compared to fixation with a single implant. This study is aimed at analysing the functional outcome following dual plating for non union of long bones Materials and Methods: This Study is a prospective study conducted in Government mohan kumaramangalam medical college hospital, Salem from year 2019 to 2021. A total of 12 patients with fracture non union of long bones diaphysis were included in the study. All the patients underwent dual fixation (either with two plates or interlocking nailing with augmentation plating) Results: All patients were followed up at regular intervals for a period of two years. The average time for union was 5 months. One patient had infection which was treated with antibiotic bone cement spacer. 2 patients developed postoperative stiffness of the knee joint. Active range of movements improved after a month of Physiotherapy. No other major complications were encountered in this study Conclusion: Dual fixation technique can provide excellent mechanical stability to the non union site and achieve good union.Out of 12 patients who were treated with dual fixation, we had been able to achieve proper union in almost all cases within average time of 5 months. It can be concluded that dual fixation is an unique and effective technique for the treatment of non union of diaphysis of long bones
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Pages:50-52
How to cite this article:
S Jawahar, R N Suresh Kumar, T Senthil Kumar "Management of non union of diaphysis of long bones by dual fixation technique ". International Journal of Orthopaedics Research, Vol 3, Issue 1, 2021, Pages 50-52
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