surgery-anesthesia-euro-gastro-congress-2018-posters

4 / 13

Page 45
Note:
N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Surgery and Anesthesia 2018 & Euro Gastro Congress 2018 Case Reports in Surgery and Invasive Procedures| Volume 2
&
GASTROENTEROLOGY
3rd International Conference on
SURGERY AND ANESTHESIA
International Conference on
Abdul Rauf Ch et al., Case Rep Surg Invasive Proced 2018, Volume 2
OUTCOME OF MESH ENVELOPE BONE
GRAFTING FOR TRAUMATIC SEGMENTAL
BONE DEFECTS
Abdul Rauf Ch, Muhammad Faisal Iqbal, Muhammad Zafar Iqbal,
Muhammad Azeem and Naseer Ahmed Ch
Sheikh Zayed Medical College and Hospital, Pakistan
Long bone defects treatment is a technically demanding procedure in ortho-
pedic surgery and may require bone graft pieces, which are loosely applied
to the bone and few pieces can spill over in the surrounding area, resulting in
failure in obtaining beneficial effects. The vicryl mesh envelope around the
bone graft may be a solution.
Objective: To determine the role mesh regarding bone graft containment and
union in long bone defects of > 4cm.
Methodology: This experimental study was conducted in orthopedic depart-
ment of Lahore General Hospital, Lahore from 1st January 2012 to 31 Decem-
ber 2014. Total 28 cases were included in the study and randomized into two
equal groups. Fourteen patients were managed with vicryl mesh (group while
14 patients were treated routinely without the use of vicryl mesh envelope
(group B). Data was entered and analyzed by using SPSS version 18.0.
Results: The mean age of all the patients was 29.11±6.16 years. The
mean age of patients in group A was 29.71±6.56 years and in group B was
28.50±5.92 years. There were 20 (71%) male patients and only 8 (29%) fe-
male patients presented with long bone defects. Most of the patients were
managed with dynamic compression plating i.e. 20 (71.43%). In group A, 1
(7.1%) patient developed infection and re-operation was done while in group
B 6 (42.9%) patients has infection and reoperation was executed to eradicate
it. The difference was significant for post-operative infection between both
groups (pvalue=0.029).
Conclusion: This study concluded that there was significant difference be-
tween both techniques in graft containment, consolidation and graft failure.
Patients managed with vicryl mesh have better outcome than without vicryl
mesh.