e-ISSN 2395-3950, p-ISSN 2395-440X
e-ISSN 2395-3950, p-ISSN 2395-440X
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B.L. Chopra, Pradeep Kumar Sharma, R.P.S. Tomar, Rashi Pachaury
ABSTRACT
Background: Diaphyseal fractures of long bones are the commonest fractures of the limbs because of a sharp increase of mechanized transport, particularly motorcycles, in developing countries. Many of these injuries present late as a result of delay in transporting victims to hospitals. Objective: We conducted a study of healing in diaphyseal fractures of adult long bones fixed without bone grafting, radiologically in terms of visible callus, cortical continuity and fracture gap and decide the role / necessity of bone grafting in delayed / non-unions. Method: This study was conducted in the Department of Orthopaedics at S.P. Medical College & Associated group of Hospitals, Bikaner on patients treated during August 2013 to December 2015. The study included 25 cases of diaphyseal fractures of all long bones fixed late by nailing or plating without bone grafting. Results: Of the total 25 patients 19(76%) had closed type of fracture while 6(24%) had open type of fracture. Most common pattern was transverse 16(64%), followed by oblique 4(16%), communited 3(12%), segmental and segmental + communited 1(4%) each respectively. Conclusion: Bone grafts should be used where absolutely indicated like in bone gaps and not just because of fear of failure. Healing definitely occurs without bone grafting if proper surgical technique is followed.
Key-words: Diaphyseal Fractures, Long Bones, fixed, Communited, Nonunion.
HOW TO CITE THIS ARTICLE:
PubMed Style
Chopra BL, Sharma PK, Tomar RPS, Pachaury R. Study Of Healing In Diaphyseal Fractures Of Adult Long Bones Fixed Witout Bone Grafting. Int Res Pub Med Sci. 2016; 2(1):60-66.
Web Style
Chopra BL, Sharma PK, Tomar RPS, Pachaury R. Study Of Healing In Diaphyseal Fractures Of Adult Long Bones Fixed Witout Bone Grafting. http://irpms.com/home/article_abstract/126 [Access: April 19, 2016].
AMA (American Medical Association) Style
Chopra BL, Sharma PK, Tomar RPS, Pachaury R. Study Of Healing In Diaphyseal Fractures Of Adult Long Bones Fixed Witout Bone Grafting. Int Res Pub Med Sci. 2016; 2(1):60-66.
Vancouver/ICMJE Style
Chopra BL, Sharma PK, Tomar RPS, Pachaury R. Study Of Healing In Diaphyseal Fractures Of Adult Long Bones Fixed Witout Bone Grafting. Int Res Pub Med Sci 2016; 2(1):60-66.
Harvard Style
Chopra BL, Sharma PK, Tomar RPS, Pachaury R.(2016) Study Of Healing In Diaphyseal Fractures Of Adult Long Bones Fixed Witout Bone Grafting. Int Res Pub Med Sci. 2(1):60-66.
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