| publication name | Biogical plating of femoral shaft fractures due to gun shot injuries |
|---|---|
| Authors | Islam Hegazy |
| year | 2015 |
| keywords | |
| journal | Azhar Assuit Medical Journal |
| volume | 5 |
| issue | 3 |
| pages | 24-31 |
| publisher | Assuit faculty of Medicine Azhar |
| Local/International | International |
| Paper Link | Not Available |
| Full paper | download |
| Supplementary materials | Not Available |
Abstract
Objective: Fractures of the shaft of the femur due to gun shot injuries represent a challenging problem to the orthopedic surgeon. Lot of problems are encountered during the management of such cases Material: This study was done on 20 cases of fracture shaft femur collected from El Salam Hospital, Sadah, Yemen republic, during the period of 2002 to 2004 to evaluate the results of biological plating of femoral fractures due to gun shot injuries, there were 15 males and 5 females, follow up period ranged from 18 to 36 months (average 20 months) age range from 18 to 65 (average 42 years), 4 cases were due to low velocity injury (hand guns) and 16 cases were due to high velocity injury (automatic guns). Methods: All cases were treated by biological plating using broad dynamic compression plate either immediately or within 5 days of injury, 4 cases needed supplementary iliac bone grafting to improve union, the clinical outcome was assessed on clinical and radiological basis. Post operative range of motion knee exercises started immediately and ambulation by 2 axillary crutches is encouraged. Results: 16 cases achieved union within 12 to 18 weeks and 4 cases showed poor callus formation after 12 weeks and needed iliac bone grafting to complete union which occurred within 8 to 12 weeks. Two cases (10%) showed signs of superficial infection and two cases (10 %) showed mild varus deformity less than 10 degrees. Conclusion: For this short term follow up, biological plating of femoral shaft fractures due to gunshot injuries proved to be an effective method of treating femoral shaft fractures especially in areas with no facility for more recent techniques