Panacea Journal of Medical Sciences

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Effect of reverse hammering on fracture union in transverse fracture of long bone nailing

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Original Article

Author Details : Raghvendra Choubey*, Gaurav Agarwal, Rajesh Kumar Jain

Volume : 13, Issue : 2, Year : 2023

Article Page : 501-503

https://10.18231/j.pjms.2023.094

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Abstract

Introduction: Reverse hammering is the method applied during nailing of transverse long bone fracture to decrease the gap between fracture ends to ensure healing. This study aims to asses the effectiveness of reverse hammering on fracture union in transverse fracture of long bone nailing as well as possible complications of this method.
Materials and Methods: Seventy six patients with transverse fracture of long bone (femur, tibia, & humerus) treated with close reduction and internal fixation with interlocking nailing were enrolled in a prospective study conducted at the department of orthopaedics, BMC Sagar from Dec. 2012 to March 2021. Union grading was done to asses union as per Hammer criteria.
Results: Mean time to achieve bony union was 4.5 months. In our study seven out of seventy six patient at the end of three month were having radiological grade three or less union which at the end of nine month only two patient out of seventy six patient were having nonunion.
Discussion & Conclusion: Our results have been encouraging. The operation is technically demanding but provides an excellent method to achieve union in intramedullary nailing of long bones. This method to reduce fracture gap should be considered for patients requiring a faster return to function after the injury.
 

Keywords: Intramedullary nailing, Fracture gap, Reverse hammering technique

How to cite : Choubey R, Agarwal G, Jain R K, Effect of reverse hammering on fracture union in transverse fracture of long bone nailing. Panacea J Med Sci 2023;13(2):501-503

Copyright © 2023 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)