Primary Fracture Management with Nail and Plate Fixation in Gustilo Anderson 3a n 3b with Antibiotic Cement Beads

Aim and Objectives: The current study was carried out with the intention of investigating the Primary fracture management with nail and plate fixation in Gustilo Anderson 3a and 3b with antibiotic cement beads.

Materials and Methods: This study was carried out only after receiving the patients' permission to do so, which was required by the institution's Ethical Committee before it could be given the go-ahead for approval. Participants in the research comprised fifty people who had compound tibial shaft fractures of Gustilo Type IIIA and IIIB. These fractures were treated at a tertiary facility using antibiotic-impregnated intramedullary nails.

Results: Majority of patients in our study with compound tibia fractures are belonged to male gender. Left sided fractures were more than right. Majority of fractures in middle and distal third of tibia. There was Superficial infection in 4 (8.0%) and Deep infection among 2 (4.0%) patients. The complications reported were Non-union & Nail breakage among 3 (6.0%) cases and Knee stiffness among 1 (2.0%) case.

Conclusion: According to the findings of this research, the use of intramedullary nails that are coated with gentamicin might be beneficial in the treatment of high-grade open tibia fractures. Despite the fact that the number of patients and infections is too low to draw any firm conclusions, the study did find that there were no severe infections.