Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria

Abstract Long bone fracture care in developing countries remains largely different from that of the developed world where closed reduction and internal fixation with locked intramedullary nail is the standard treatment. This study in a developing country presents the pattern and outcome of treatment...

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Autores principales: Stephen Adesope Adesina, Samuel Uwale Eyesan, Innocent Chiedu Ikem, Olalekan Akeem Anipole, Isaac Olusayo Amole, Akinsola Idowu Akinwumi, Philip Oluyemi Bamigboye, Adewumi Ojeniyi Durodola
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/47483c3a36744a71ab4577fdfabcb21d
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spelling oai:doaj.org-article:47483c3a36744a71ab4577fdfabcb21d2021-12-02T16:50:17ZRadiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria10.1038/s41598-021-89544-22045-2322https://doaj.org/article/47483c3a36744a71ab4577fdfabcb21d2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89544-2https://doaj.org/toc/2045-2322Abstract Long bone fracture care in developing countries remains largely different from that of the developed world where closed reduction and internal fixation with locked intramedullary nail is the standard treatment. This study in a developing country presents the pattern and outcome of treatment of 370 long bone fractures using the SIGN nail over a five-year period in order to underline the wide array of patients and fractures treatable with the nail. Using a prospective descriptive approach, all the 342 patients with 370 fractures of the humerus, femur and tibia treated from July 2014 to June 2019 were studied. The fractures were reduced without image intensifier or fracture table and fixed with the SIGN nail. Post-discharge, the patients were followed up at the out-patient clinic. The mean age of the patients was 43.45 years with a range of 10–99 years. Sixty-six percent were males who were mostly injured in motorcycle accidents. Femur, tibia and humerus fractures accounted for 59.7%, 28.4% and 11.9% respectively. Eighty-six percent were diaphyseal fractures, 73% were fresh and the main previous treatment was traditional bone setting. Deep infection occurred in 4.9%, 66.0% achieved knee flexion > 90° by sixth week, the majority achieved full weight bearing and could squat and smile by 12th week. The SIGN nail is versatile, useful for treating a wide range of fractures in most age groups particularly in developing countries where orthopaedic fractures are prevalent but the more sophisticated facilities are lacking or poorly maintained.Stephen Adesope AdesinaSamuel Uwale EyesanInnocent Chiedu IkemOlalekan Akeem AnipoleIsaac Olusayo AmoleAkinsola Idowu AkinwumiPhilip Oluyemi BamigboyeAdewumi Ojeniyi DurodolaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Stephen Adesope Adesina
Samuel Uwale Eyesan
Innocent Chiedu Ikem
Olalekan Akeem Anipole
Isaac Olusayo Amole
Akinsola Idowu Akinwumi
Philip Oluyemi Bamigboye
Adewumi Ojeniyi Durodola
Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
description Abstract Long bone fracture care in developing countries remains largely different from that of the developed world where closed reduction and internal fixation with locked intramedullary nail is the standard treatment. This study in a developing country presents the pattern and outcome of treatment of 370 long bone fractures using the SIGN nail over a five-year period in order to underline the wide array of patients and fractures treatable with the nail. Using a prospective descriptive approach, all the 342 patients with 370 fractures of the humerus, femur and tibia treated from July 2014 to June 2019 were studied. The fractures were reduced without image intensifier or fracture table and fixed with the SIGN nail. Post-discharge, the patients were followed up at the out-patient clinic. The mean age of the patients was 43.45 years with a range of 10–99 years. Sixty-six percent were males who were mostly injured in motorcycle accidents. Femur, tibia and humerus fractures accounted for 59.7%, 28.4% and 11.9% respectively. Eighty-six percent were diaphyseal fractures, 73% were fresh and the main previous treatment was traditional bone setting. Deep infection occurred in 4.9%, 66.0% achieved knee flexion > 90° by sixth week, the majority achieved full weight bearing and could squat and smile by 12th week. The SIGN nail is versatile, useful for treating a wide range of fractures in most age groups particularly in developing countries where orthopaedic fractures are prevalent but the more sophisticated facilities are lacking or poorly maintained.
format article
author Stephen Adesope Adesina
Samuel Uwale Eyesan
Innocent Chiedu Ikem
Olalekan Akeem Anipole
Isaac Olusayo Amole
Akinsola Idowu Akinwumi
Philip Oluyemi Bamigboye
Adewumi Ojeniyi Durodola
author_facet Stephen Adesope Adesina
Samuel Uwale Eyesan
Innocent Chiedu Ikem
Olalekan Akeem Anipole
Isaac Olusayo Amole
Akinsola Idowu Akinwumi
Philip Oluyemi Bamigboye
Adewumi Ojeniyi Durodola
author_sort Stephen Adesope Adesina
title Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
title_short Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
title_full Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
title_fullStr Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
title_full_unstemmed Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria
title_sort radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in ogbomoso, nigeria
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/47483c3a36744a71ab4577fdfabcb21d
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