Ender Nailing of the Tibial Shaft Fractures under the Local Anesthesia.
10.12671/jkfs.2006.19.2.147
- Author:
Sang Ho HA
1
;
Jun Young LEE
;
Deog Yong KIM
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Tibia fracture;
Local anesthesia;
Ender nail
- MeSH:
Anesthesia, General;
Anesthesia, Local*;
Anesthesia, Spinal;
Congenital Abnormalities;
Contracture;
Extremities;
Fracture Fixation, Intramedullary;
Humans;
Joints;
Patient Care;
Thromboembolism;
Tibia
- From:Journal of the Korean Fracture Society
2006;19(2):147-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical result of ender nailing under local anesthesis was done to patient with tibia shaft fracture who had high risk for general anesthesia or spinal anesthesia. MATERIALS AND METHODS: 10 cases with ender nailing procedure under local anesthesia due to high anesthetic risk were selected from total of 20 cases with tibia shaft fracture operated with ender nailing. In each patient, hepatic, diabetic, cadiopulmonary complication and thromboembolism which can be initiated or aggravated by general or spinal anesthesia, were evaluated. Radiologic and clinical evaluation were used to check bone union. RESULTS: There were no complication of local anesthesia. Bone union were acquired in all cases with average bone union period of 18 weeks. There were no evidence of flexion deformity, limb shortening or joint contracture. CONCLUSION: Ender nail fixations under local anesthesia enable close reduction and intramedullary nailing and is effective in patient care but has no problem with bone union. For this reason, ender nail fixation under local anesthesia seem to be effective method if general of spinal anesthesia is difficult.
