Esan Oluwadare, Toluse Adetunji Mapaderun, Ashaolu Oludare Uriel, Orimolade Ayodele Elkanah
Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University/Teaching Hospitals Complex, Ile Ife, Nigeria.
National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.
Pan Afr Med J. 2016 Dec 21;25:250. doi: 10.11604/pamj.2016.25.250.8642. eCollection 2016.
intramedullary nailing is a method of choice in the management of long bone diaphyseal fractures. However, complications necessitating re-operation may arise. This study was aimed at determining the rate and indications for re-operation following intramedullary nailing of tibia shaft fractures.
it was a cross-sectional study done at Orthopaedic Department of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife in Southwest Nigeria. Records of patients who had interlocking nailing for tibia shaft fracture between 2005 and March 2013 were retrieved. Variables of interest extracted included aetiology of fracture, type of fracture, cadre of surgeon and indication for re-operation. Frequency distribution and chi-square analysis were done using SPSS version 22. Level of statistical significance was determined at p-value <0.05.
One hundred and forty-six patients had tibia nailing done during the study period. Eighty-six patients met the study criteria with male to female ratio of 2.6:1. There were 51 (59.3%) with open fractures and 35 (40.7%) with closed fractures. Ten patients had re-operation giving a re-operation rate of 11.6 %. Two most common indications for re-operation included loose screw 3 (25%) and surgical site infection (SSI) 3 (25%). There was no statistically significant association between rate of re-operation and the cadre of surgeon (p=0.741) and type of fracture whether closed or open (p=0.190).
Re-operation following tibia intramedullary nailing is an ever present risk. Precautions should be taken to prevent the common indications such as loose screw and surgical site infections.
髓内钉固定术是治疗长骨干骨折的一种常用方法。然而，可能会出现需要再次手术的并发症。本研究旨在确定胫骨干骨折髓内钉固定术后再次手术的发生率及指征。
这是一项在尼日利亚西南部伊费奥巴费米·阿沃洛沃大学教学医院综合体骨科进行的横断面研究。检索了2005年至2013年3月期间接受胫骨干骨折交锁髓内钉固定术患者的记录。提取的相关变量包括骨折病因、骨折类型、外科医生级别及再次手术指征。使用SPSS 22版进行频率分布和卡方分析。统计学显著性水平确定为p值<0.05。
在研究期间，146例患者接受了胫骨髓内钉固定术。86例患者符合研究标准，男女比例为2.6:1。其中开放性骨折51例（59.3%），闭合性骨折35例（40.7%）。10例患者接受了再次手术，再次手术率为11.6%。再次手术的两个最常见指征包括螺钉松动3例（25%）和手术部位感染（SSI）3例（25%）。再次手术率与外科医生级别（p=0.741）以及骨折类型（闭合性或开放性，p=0.190）之间无统计学显著关联。
胫骨髓内钉固定术后再次手术是一种始终存在的风险。应采取预防措施以防止螺钉松动和手术部位感染等常见指征的发生。
