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Studies on biological osteosynthesis of canine diaphysial fractures using C-arm image intensifier and intramedullary fixation devices

KrishiKosh

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Title Studies on biological osteosynthesis of canine diaphysial fractures using C-arm image intensifier and intramedullary fixation devices
 
Creator Devi, Nameirakpam Umeshwori
 
Contributor Singh, S. S.
 
Subject Diaphysial fracture
open reduction
closed reduction
intramedullary pinning
interlocking nailing
 
Description The study was conducted on 88 clinical cases of canine (89 long bone diaphyseal fractures) to compare closed and open surgical method using intramedullary fixation devices in fracture healing. The cases were divided into four groups viz., Group I (n=51): fracture stabilized by open reduction with intramedullary pin; Group II (n=19): fracture stabilized by open reduction with interlocking nail; Group III (n=13): fracture stabilized by closed reduction with intramedullary pin using C-arm image intensifier; Group IV (n=6): fracture stabilized by closed reduction with interlocking nail using C-arm image intensifier. Higher fracture incidence was recorded in males (72.73%), dogs between 7-12 months (30.68%), and dogs weighing 10-20 kg and 20-30 kg (35.23% each). Automobile accidents (54.55%) followed by fall from height (27.27%) were the major cause of fracture, of which, in majority, the bone involved was femur (55.06%). The mean incision length (cm) and operative time (minutes) of open reduction groups; Group I (10.22±0.56; 51.4±2.94) and Group II (15.5±1.21; 91.58±9.24) were more than that of closed reduction groups; Group III (2.42±0.37; 21.30±3.67) and Group IV (11.41±2.48; 53±3.57). The overall healing percentage was 76%. The healing percentage recorded in Group I, II, III and IV were 65.52%, 81.81%, 100% and 100% respectively. Radiographic healing (days) was early in the closed reduction groups (42.36±5.47 in Group III; 70±5.0 in Group IV) when compared to the open reduction groups (73±6.72 in Group I; 79±12.23 in Group II). Faster healing of fracture was related with small incision length and short operative time. Clinical outcome revealed better limb function in closed reduction groups as compared to open reduction groups. Fewer complications were encountered in fractures treated by closed method.
 
Date 2016-08-19T16:43:42Z
2016-08-19T16:43:42Z
2015-01-06
 
Type Thesis
 
Identifier http://krishikosh.egranth.ac.in/handle/1/73079
 
Language en
 
Format application/pdf