دورية أكاديمية
أعرض في EDS

Determinants of re-operation following tibia intramedullary nailing at a tertiary hospital in south-west Nigeria.

التفاصيل البيبلوغرافية
العنوان: Determinants of re-operation following tibia intramedullary nailing at a tertiary hospital in south-west Nigeria.
المؤلفون: Esan O; Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Teaching Hospitals Complex, Ile Ife, Nigeria., Toluse AM; National Orthopaedic Hospital, Igbobi, Lagos, Nigeria., Ashaolu OU; Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Teaching Hospitals Complex, Ile Ife, Nigeria., Orimolade AE; Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Teaching Hospitals Complex, Ile Ife, Nigeria.
المصدر: The Pan African medical journal [Pan Afr Med J] 2016 Dec 21; Vol. 25, pp. 250. Date of Electronic Publication: 2016 Dec 21 (Print Publication: 2016).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Bone Nails*, Fracture Fixation, Intramedullary/*methods , Reoperation/*statistics & numerical data , Tibial Fractures/*surgery, Cross-Sectional Studies ; Female ; Fractures, Closed/surgery ; Fractures, Open/surgery ; Humans ; Male ; Nigeria ; Surgical Wound Infection/epidemiology ; Tertiary Care Centers
مستخلص: Introduction: intramedullary nailing is a method of choice in the management of long bone diaphyseal fractures. However, complications necessitating re-operation may arise. This study was aimed at determining the rate and indications for re-operation following intramedullary nailing of tibia shaft fractures.
Methods: it was a cross-sectional study done at Orthopaedic Department of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife in Southwest Nigeria. Records of patients who had interlocking nailing for tibia shaft fracture between 2005 and March 2013 were retrieved. Variables of interest extracted included aetiology of fracture, type of fracture, cadre of surgeon and indication for re-operation. Frequency distribution and chi-square analysis were done using SPSS version 22. Level of statistical significance was determined at p-value <0.05.
Results: One hundred and forty-six patients had tibia nailing done during the study period. Eighty-six patients met the study criteria with male to female ratio of 2.6:1. There were 51 (59.3%) with open fractures and 35 (40.7%) with closed fractures. Ten patients had re-operation giving a re-operation rate of 11.6 %. Two most common indications for re-operation included loose screw 3 (25%) and surgical site infection (SSI) 3 (25%). There was no statistically significant association between rate of re-operation and the cadre of surgeon (p=0.741) and type of fracture whether closed or open (p=0.190).
Conclusion: Re-operation following tibia intramedullary nailing is an ever present risk. Precautions should be taken to prevent the common indications such as loose screw and surgical site infections.
Competing Interests: The authors declare no competing interest.
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فهرسة مساهمة: Keywords: Reoperation rate; intramedullary nailing; tibia fractures
تواريخ الأحداث: Date Created: 20170316 Date Completed: 20170329 Latest Revision: 20181113
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5337272
DOI: 10.11604/pamj.2016.25.250.8642
PMID: 28293366
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2016.25.250.8642