Original Articles
Effect of far cortical locking (FCL) on healing of long bone fractures of lower limb | |
Dr. Dhruv Lashkare, Dr. Harish Rao, Dr. Tribhuwan Narayan Singh Gaur, Dr. PV Siddhartha | |
Introduction: The present study was conducted to evaluate the effect of Far Cortical Locking (FCL) on healing of long bone fractures of Lower Limb. Materials and Methods: This Non-Randomized Prospective Interventional Study was carried out in People’s College of Medical Sciences and Research Centre, Bhopal from November 2016 to April 2018 on 32 cases that were treated with Far Cortical Locking technique in various locations of the long bone fractures of the lower limb and giving consent for the study. Data was compiled using MS Excel and analyzed using SPSS. Results: Mean age of study participants was 40.3±14.7 years. Majority of patients were male. Mean duration since injury was 8.94±7.13 hours whereas Mean injury surgery interval was 3.31±1.17 days.Union clinical time was significantly higher in high grade injury as compared to low grade injury similarly union time radiological was significantly higher in high grade injury as compared to low grade injury. Weight bearing was equally distributed among different fracture configuration (p=0.443). Mean time for toe touching was 2.88±1.00 weeks whereas full weight bearing was possible after mean time of 18.59±1.94 weeks. Conclusion: The use of FCL screws in place of standard locking screws significantly reduced construct stiffness and provided controlled interfragmentary motion for promotion of fracture healing by callus formation. Similar fracture healing rates as reported by previous studies indicate improved fracture healing with FCL technology.However, a large randomized case control trial is needed to provide strength to present study finding. |
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