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Removal of selected fracture fixation implants under local anaesthesia
1Department of Surgery, Centre Hopitalier Regional de Hombo, Anjouan, Comoros Islands.
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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