Various modalities of management of segmental fractures of long bones

Abstract

Introduction: Segmental long bone fractures in high energy injuries are a challenging combination of bone and soft-tissue damage and loss. The state of the surrounding soft tissues and the local blood supply to the bone are the most important factors determining the tendency of the fracture to heal. Objectives: To study the efficacy and safety of various method of treatment in segmental fractures long bones and various complications associated with it. Materials and Methods: 20 patients with segmental fractures of long bones, satisfying the inclusion criteria, who were treated with various modalities of management were included in the study.The fractures were evaluated clinically as well as radiologically and the modality of management was based on the type of fracture and associated injuries. Out of 10 tibial fractures, 6 were treated with static intramedullary nail, and 2 with external fixator 2 conservatively. Out of 5 femoral fractures,4 were treated with intramedullary nail. Out of 2 humerus fractures 2 were treated with dynamic compression plate technique. Out of 3 both bone forearm fractures 3 were treated with dynamic compression plate technique.