Primary plating osteosynthesis in open fractures

Abstract

Introduction: We have undertaken the work with the idea that early internal fixation with plate provide sufficient stability for proper nursing of wound and fracture healing on one hand and initiation of early joint function and rehabilitation on the other hand. The purpose of this study was to evaluate an early aggressive wound management and fracture stability in an attempt to alter the natural history of complex open fractures with respect to union, infection rate and time and cost of hospitalization and rehabilitation. Materials & Methods: The present study was conducted in the department of the orthopaedics, Medical College. A total of 30 individuals either of male or female were included in the study. They were selected from the OPD of the hospital. Each patient was subjected to a clinical, radiological and pathological examination. Results: A total of 30 patients diagnosed with open fracture were included in the study and treated with help of primary plating. Out of the total 30 patients, 15 were of grade 1, 7 were of grade II fracture and 8 were in grade III. Discussions & Conclusion: Fifteen cases in the series reported between 3 to 12 hours after sustaining the trauma due to lack of communication and transport facilities. Only 2 patients could reach the hospital within 3 hours both of them were from urban areas. We conclude from the study that the judicious selection of cases, skilful management of the injured limb and early rehabilitation is the key for compound fractures. Infection is one of the most important problems in the management of open fractures, which determine the final outcome.