Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current rev...Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current review aims to compare the outcomes of adult tibia fractures treated with solid nails to those treated with hollow nails. Methods: A search on Scopus, PubMed, and Cochrane Library, using three keywords (Outcome, Tibia shaft fractures, Nail) was conducted in April 2023. Results were compiled and two independent reviewers screened and selected eligible articles After removing duplicates, titles and abstracts were read to exclude ineligible studies. Full-text articles of the remaining papers were read to select eligible studies which were further critically appraised to ascertain their methodological quality. The data extracted from the selected papers were synthesized using a combination of pooling of results, tests of statistical difference (t-test and chi-square) and narrative synthesis methods. Results: A total of 2295 articles were obtained from the databases and citation searching. A total of 9 papers were identified as eligible and included in the review. Findings revealed that there is no statistical difference in the outcomes of tibia fractures treated with either solid or hollow nail groups such as duration of surgery (p = 0.541), rate of delayed and non-union (p = 0.342), and rate of surgical site infections (p = 0.395). Conclusion: Intramedullary nailing of tibia shaft fractures with either solid or hollow nails have similar functional outcomes.展开更多
Background: Post-operative swelling following open reduction and internal fixation for ankle fracture is a common complication that delays return to function. Compressive stockings have been employed in most centres i...Background: Post-operative swelling following open reduction and internal fixation for ankle fracture is a common complication that delays return to function. Compressive stockings have been employed in most centres in Africa to help resolve such complications but there is a dearth of information regarding its clinical effectiveness. Therefore, this study sought to evaluate the effectiveness of compressive stockings in the management of post-operative ankle swelling. Methodology: A prospective cohort hospital-based study was employed in the present study to assess the effectiveness of compressive stocking in reducing post-op swelling following ORIF for ankle fractures compared to a control group who had no compressive stocking using a convenient sampling method. Data collected include age, sex, and ankle circumference at 2, 6 and 12 weeks post op. Based on the x-rays, the ankle fractures were categorized according to the Lauge-Hansen classification. Student t-test was used in all statistical analyses p-value Results: A total of 85 patients (40 test and 45 control) including 54% males and 46% females between the ages of 18 - 78 years with a mean age of 44.8 + 14.9 years were recruited for the present study. The most common fracture pattern was supination external rotation (74.1%). Post op swelling was significantly lower in the compressive stocking group compared to the control group at 6 weeks [0.53 cm (95% CI: 0.05 - 1.01), p Conclusion: Compressive stocking can be used effectively to reduce post op swelling following open reduction and internal fixation for ankle fractures.展开更多
文摘Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current review aims to compare the outcomes of adult tibia fractures treated with solid nails to those treated with hollow nails. Methods: A search on Scopus, PubMed, and Cochrane Library, using three keywords (Outcome, Tibia shaft fractures, Nail) was conducted in April 2023. Results were compiled and two independent reviewers screened and selected eligible articles After removing duplicates, titles and abstracts were read to exclude ineligible studies. Full-text articles of the remaining papers were read to select eligible studies which were further critically appraised to ascertain their methodological quality. The data extracted from the selected papers were synthesized using a combination of pooling of results, tests of statistical difference (t-test and chi-square) and narrative synthesis methods. Results: A total of 2295 articles were obtained from the databases and citation searching. A total of 9 papers were identified as eligible and included in the review. Findings revealed that there is no statistical difference in the outcomes of tibia fractures treated with either solid or hollow nail groups such as duration of surgery (p = 0.541), rate of delayed and non-union (p = 0.342), and rate of surgical site infections (p = 0.395). Conclusion: Intramedullary nailing of tibia shaft fractures with either solid or hollow nails have similar functional outcomes.
文摘Background: Post-operative swelling following open reduction and internal fixation for ankle fracture is a common complication that delays return to function. Compressive stockings have been employed in most centres in Africa to help resolve such complications but there is a dearth of information regarding its clinical effectiveness. Therefore, this study sought to evaluate the effectiveness of compressive stockings in the management of post-operative ankle swelling. Methodology: A prospective cohort hospital-based study was employed in the present study to assess the effectiveness of compressive stocking in reducing post-op swelling following ORIF for ankle fractures compared to a control group who had no compressive stocking using a convenient sampling method. Data collected include age, sex, and ankle circumference at 2, 6 and 12 weeks post op. Based on the x-rays, the ankle fractures were categorized according to the Lauge-Hansen classification. Student t-test was used in all statistical analyses p-value Results: A total of 85 patients (40 test and 45 control) including 54% males and 46% females between the ages of 18 - 78 years with a mean age of 44.8 + 14.9 years were recruited for the present study. The most common fracture pattern was supination external rotation (74.1%). Post op swelling was significantly lower in the compressive stocking group compared to the control group at 6 weeks [0.53 cm (95% CI: 0.05 - 1.01), p Conclusion: Compressive stocking can be used effectively to reduce post op swelling following open reduction and internal fixation for ankle fractures.
