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Year : 1981  |  Volume : 15  |  Issue : 1  |  Page : 49-54

Primary Internal Fixation In Crush Injuries



Correspondence Address:
K. P Srivastava


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With speedy transportation and mechanized agriculture, many of the injuries have severe crushing of soft tissues and have open, comminuted or segmental fractures. The anatomical reduction and internal fixation greatly facilitate the skin cover, healing of the soft tissues and muscle function. In such cases, the budding arterioles and capillaries are protected from forces such as tension, compression, bending and twisting by good reduction and internal fixation. Uniformly good results of internal fixation, in open fractures of various long bones, have been reported from time to time by Davis (1948), Zadik (1953), Wade and Campbell (1958), Veliskakis (1959), Alms (1962), Edwards (1965), Miyagi et al. (1969), Burwell (1971), Hamza et al. (1971), Carr and Wingo (1973) and Harvey et al. (1975). The purpose of this study was to investigate the utility of primary internal fixation of fractured fragments in crush injuries as an alternative to the conservative treatment, which poses problems like instability of fractured fragments, mal-union, delayed union, post operative infection, joint stiffness, soft tissue scarring and contracture.


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