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Removal of selected fracture fixation implants under local anaesthesia.
Ahmed, Adamu.
Afiliación
  • Ahmed A; Department of Surgery, Centre Hopitalier Regional de Hombo, Anjouan, Comoros Islands.
Niger Postgrad Med J ; 13(2): 135-8, 2006 Jun.
Article en En | MEDLINE | ID: mdl-16794651
AIMS AND OBJECTIVES: This study was undertaken to evaluate the feasibility and tolerability of fracture fixation implants (FFI) removal under local anaesthesia. MATERIALS AND METHODS: We reviewed 176 patients who had osteosynthetic materials inserted for the treatment of fractures and whose implants were removed under local anaesthesia. Pain and tolerance were determined using a pain severity score determined by the patients. About 60% of the implants were Kuntcher nails while 31% were Krischner wires. In 171 (97.2% ) patients the implants were removed under local anaesthesia while in 5 (2.8% ) patients with Kuntcher nails the procedures were difficult and painful which necessitated the use of intravenous ketamine. RESULTS: About 89% of patients felt no pain during the procedures while 8.5% felt mild to moderate pain, which was easily tolerated. CONCLUSION: The use of local anaesthesia for fracture fixation implants removal is recommended because it is simple and safe and reduced the cost and complications of treatment.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dispositivos de Fijación Ortopédica / Prótesis e Implantes / Remoción de Dispositivos / Anestesia Local Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Niger Postgrad Med J Asunto de la revista: MEDICINA Año: 2006 Tipo del documento: Article Pais de publicación: Nigeria
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dispositivos de Fijación Ortopédica / Prótesis e Implantes / Remoción de Dispositivos / Anestesia Local Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Niger Postgrad Med J Asunto de la revista: MEDICINA Año: 2006 Tipo del documento: Article Pais de publicación: Nigeria