Objective: The aim of the study was to assess role of antibiotic beads in the management of compound fracture long bone. Methods: Twenty-four patients with compound long bone fracture (Grade II, IIIA, and IIIB) operated with initial debridement, fracture stabilization, and antibiotic coated beads. All patients were followed-up till at least 6 months. All patients were evaluated clinically and radiologically for functional outcome. Results: Seventeen patients (71%) were male while 7 patients (29%) were female. Mean age at the time of surgery was 34.5 years (Range: 20– 70 years). Sixteen patients had fracture on the right side while the eight patients had on the left side. Sixteen patients had Type II compound injury (67%), five patients had Type IIIA (21%), and three patients had Type IIIB compound injury (12%). The average time of union was 16 weeks in 6 patients (26.06%), 12–14 weeks in 8 patients (34.78%) and 18–22 weeks in 9 patients (39.14%). Out of 24 cases, only one case had superficial infection, one case has deep infection, three patients had raw skin area, one patient developed post-operative knee stiffness, and another had 1 cm limb shortening. Functional outcome is seen as six patients with excellent outcome, eight patients with fair outcome, nine patients with good outcome, and one patient had poor outcome. Conclusion: The study concludes the use of antibiotic coated beads in compound fracture significantly reduces the infection in compound fracture of Grade II, Grade IIIA, and IIIB. Antibiotic impregnated beads delivers higher concentration of local antibiotics to wound site which helps in hastening recovery of wound. This reduces hospital stay and morbidity.
Objective: The aim of the study was to study the management of neck femur fracture in adult by mini-DHS and BDSF technique; an innovative procedure. Methods: This study was conducted on 20 Patients with neck of femur fractures, who underwent mini DHS with 6.5 mm cc screw with biplane double supported screw fixation technique in the Department of Orthopaedics, Government Medical College and Associated Groups of Hospitals, Kota during year 2019–2021. Results: Out of 20 cases, 14 are male and six are female and age-wise distribution <20 years, one patient 20–40 years, 11 patients and >40 years, eight patients. Mode of injury mainly road traffic accident, Average Harris hip score 91.35, 15 patients (75%) achieved excellent result, radiologically fracture union was seen in 19 patients (95%). Conclusion: Although anatomical reduction is crucial, Mini DHS with 6.5 mm cc screw with BDSF-method ensures reliable fixation, early rehabilitation, and good functional outcome especially in adult.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.