Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Intramedullary interlocked nailing has been the most widely accepted and practiced strategy of the management of diaphyseal fractures of tibia and femur, however, associated with delayed and/or non‐union in many cases. Dynamization forms one of the various methods proposed to overcome the problem of delayed union and non‐union. This study aims at assessing the need and e effectiveness of dynamization in tibial and femoral diaphyseal fractures. A total of 30 fractures of femur (11) and tibia (19) were selected for the prospective study in the time frame of 01‐01‐2020‐31‐12‐2020. All patients underwent closed or open interlocking nailing and clinical and radiological follow‐up was done for 1 year with the results being obtained on radiological assessment. In case of femur dynamization, out of 11 cases, 7 cases achieved union. For tibial dynamization, out of 19 cases, 14 achieved union. Delayed and non‐union continue to be a major problem associated with intramedullary interlocking nailing of diaphyseal fractures of tibia and femur, for which dynamization has been advised. In our study, we did dynamization in all 30 cases which were showing signs of delayed union, 8 weeks after nailing and it was observed that dynamization had a definite role in enhancing tibial diaphyseal fracture union while having an equivocal effect on femoral diaphyseal fractures, as compared to nondynamized cases.
How to cite this article:
Imad Adil Khan, Ashutosh Singh and Umar Akhtar. Role of Dynamization in Fracture Healing of Femur and Tibia After Intramedullary Interlocking Nail: A One Year Hospital Based Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.317.322
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.317.322