Treatment Outcomes of Surgical and Non-Surgical Approaches of Management of Close Tibia Fracture at Bugando Medical Centre. (Record no. 28692)
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| 000 -LEADER | |
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| fixed length control field | 05095nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240912123313.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240912123313.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240912123930.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240912b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| Source | Website: www.bugando.ac.tz. |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/MD/4002660/T/19 |
| Fuller form of name | Kissinga Daniel A. |
| 245 ## - TITLE STATEMENT | |
| Title | Treatment Outcomes of Surgical and Non-Surgical Approaches of Management of Close Tibia Fracture at Bugando Medical Centre. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 41 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background information:<br/><br/>The most common long bone fractures are tibial shaft fractures, which have a bimodal distribution according to age and sex. Older women and young male patients are more likely to sustain a fracture(1). A fracture of the tibial shaft accounts for approximately 2% of all adult fractures(2). Few epidemiological studies have been made concerning the incidence and mechanism of this injury(3). In a study done in Sweden it was revealed that The overall incidence of tibia fractures was 51.7 per 100,000 and year. The incidence of proximal, diaphysis and distal tibia fractures was 26.9, 15.7 and 9.1 respectively per 100,000 and year(4). In China it was revealed fracture of patella, tibia or fibula, and ankle were the most frequent fracture types, with an ASYR of 116 per 100 000(5). There is a limited number of studies on the overall prevalence of tibia fractures in sub-Saharan Africa and Tanzania(2). Traditionally, the most typical cause of a tibial shaft fracture, especially in men, has been a major trauma, such as a traffic collision or a high-energy fall(2, 6). Tibial shaft fractures are classified according to the AO Classification of long bones (7) and are divided into simple, wedge and complex fractures (Type 42. A/B/C). Type A fractures are subdivided into spiral, oblique and transverse fractures, type B into spiral wedge, oblique wedge and transversal wedge fractures. Finally Type C fractures are subdivided into spiral, segmental and irregular fractures. Closed soft tissue injuries can be classified by the classification of Tscherne/Oestern(8) and open fractures by the classification of Gustilo/Anderson(9). Most patients experience excruciating pain and can explain how the injury occurred. They frequently exhibit instability, malposition, edema, and hematoma during the clinical examination. X-rays in two planes are sufficient as the primary diagnostic tool and should include the knee and ankle(10). <br/><br/><br/>Stable, non-displaced fractures of the tibial shaft can be treated conservatively by cast application(11). Due to a long period of immobilization conservative treatment includes a high risk of deep venous thrombosis, compartment syndrome, soft tissue injury and chronic regional pain syndrome. Treatment of tibial fractures by casting is associated with the lowest incidence of infection but the highest incidence of delayed union, nonunion and malunion(11). According to the AWMF Guidelines conservative treatment is only recommended in non-displaced tibial shaft fractures in patients with good compliance(12). Operative treatment with standardized protocols is very common. Absolute indications for immediate surgical treatment are for example open fractures, compartment syndrome, concomitant nerve and/or vessel injury or multiple injured patients. Several different implants are available to the orthopedic surgeon. external fixators, plating, and intramedullary nails (IMNs) are the methods used to treat tibial fractures. Shortening and malunion are reduced and faster union is achieved using intramedullary nailing. Nailed patients have less time off work with a more predictable and rapid return to full function(13). In skeletally mature patients with displaced tibial shaft fracture, the most common treatment is intramedullary nail fixation. Seroma, necrosis and infection with the late onset of osteomyelitis are the most common complications in closed fractures(14). Compartment syndrome complicates tibia fractures with an incidence ranging from 1,4% to 48% in various(15, 16). in open fractures, infection is a severe complication requiring radical surgical intervention to avoid chronic osteitis. Once medullary cavity is infected intramedullary nails should be removed and replaced by external fixation(10). <br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Orthopaedics and Trauma |
| General subdivision | Microbiology & Immunology |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Emmanuel Evarist Mlay |
| Fuller form of name | Helmut Adrian Nyawale |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | Research report submitted in partial fulfillment for the award of Doctor of Medicine Degree in the Catholic University of Health and allied sciences |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | UNDERGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 09/12/2024 | 20240912123313.0 | 09/12/2024 | 09/12/2024 | UNDERGRADUATE DISSERTATIONS |