Outcome of the Treatment of Gunshot Open Fractures of the LowerExtremities with 'SIGN' Interlocking Nails
2013
Background: Gunshot injuries are gradually on the increase in civilian
populations in developing countries due to increasing violence in our
society. The treatment of fractures from these injuries is changing
with the use of locked intramedullary nailing becoming an acceptable
and effective method of fixation. Surgical Implant Generation Network
interlocking nails are gaining universal acceptability in these
countries due to ease of use without the need for image intensifier.
The purpose of this study was to evaluate the outcome of the use 'SIGN'
interlocking nailing in gunshot open fractures of the lower limbs.
Methods: This is a prospective study of all patients in three tertiary
centres in developing countries who had gunshot fractures of lower
limbs fixed with SIGN nails from 1st January to 31st December 2009 and
followed up for a period of 2 years. Results: Twenty eight patients
with 31 fractures with average age of 32.5years±12.6SD. All the
patients were males except one female. Fractures occurred in femur in
20(71.4%) and tibia in 11(29.6%) SIGN nail was used to fix all
fractures and union was achieved in all the patients. The most common
complication was wound in infection in 5 (15.2%). Conclusion: SIGN
intramedullary locked nail provided an effective method of fixation for
gunshot fractures of the lower extremity with minimal complication.
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