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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1617
Prevention of Post-Operative Complications among
Orthopaedic Patients with External Fixators
Afjal Khan
Assistant Professor, Shri Venkateshwara School of Nursing, Gajraula, Uttar Pradesh, India
ABSTRACT
External fixation is a surgical treatment used to bone fractures in which a
plaster cast would not permit suitable alignment of the fracture. This type of
reduction, holes is drilled into uninjured region of bones around the fracture
and special bolts or wires are screwed into the holes. Outside the body, a rod
or a curved piece of metal with special ball-and-socketjoints thebolts tomake
a rigid support. External fixation offers several advantages over otherfixation
methods but has its complications, the most common being pin site infection
Hence the researcher had taken up a pre-experimental onegrouppretestpost
test research study to evaluate the effectiveness of structured teaching
programme on knowledge regarding prevention of post-operative
complications among orthopedic patients with external fixators in J.K.
Hospitals at Bhopal.
KEYWORDS: Orthopaedic Patient, Prevention of Post-Operative Complication
with External Fixators, Knowledge
How to cite this paper: Afjal Khan
"Prevention of Post-Operative
Complications among Orthopaedic
Patients withExternalFixators" Published
in International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-5 |
Issue-4, June 2021,
pp.1617-1619, URL:
www.ijtsrd.com/papers/ijtsrd43682.pdf
Copyright © 2021 by author (s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
Commons Attribution
License (CC BY 4.0)
(http: //creativecommons.org/licenses/by/4.0)
STATEMENT OF THE PROBLEM
“A Study to Evaluate the Effectiveness of Structured
Teaching Programme on Knowledge Regarding Prevention
of Post-Operative Complications among Orthopaedic
Patients with External Fixators in J.K. Hospital at Bhopal”
OBJECTIVES
1. To assess the pre-test knowledge regarding prevention
of post-operative complications among orthopedic
patients with external fixators.
2. To develop and administer structured teaching
programme regarding prevention of post-operative
complications among orthopedic patients with external
fixators.
3. To evaluate the effectiveness of structured teaching
programme by comparing the pre-test and post-test
knowledge scores.
4. To determine the association between pre-test level of
knowledge regarding prevention of post-operative
complications among orthopedic patients with external
fixators with selected socio demographic variables.
METHODS
The pre-experimental design of one group pre test post test
design was used for the study. The study was conducted at
J.K hospital Bhopal. Sample of 40 patients with external
fixation based on inclusion criteria were chosen by means of
purposive sampling technique. The data tool were validated
by experts, the reliability and feasibilityweredetermined by
the pilot study. The data for the study was collected by
structuredinterviewschedulefollowingwhichsamples were
subjected to Structured Teaching Programmeonprevention
of post-operative complications among orthopedic patients
with external fixators for duration of 45 minutes. Post test
was done on 7th day following intervention. The same tool
used to conduct the post test. The data was analyzed by
using descriptive and inferential statistics
RESULTS
The result of the study showed that the mean post test
knowledge score (20.7) was significantly higher than the
mean pre test score (11.3) and the ‘t’ value computed
between the pre test and post test score was statistically
significant at 0.05 level (t =34.18). Hence the structured
teaching programme was effective. The result of Chi-square
analysis indicated that there was significant association
between pre test knowledge score with source of
information of orthopaedic patient with external fixation.
CONCLUSION:-
Study shows that the patients with external fixator have
inadequate knowledge regarding prevention of post-
operative complication of external fixator. Teaching
programmes like this can improve the knowledge.
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IJTSRD43682
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1618
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International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1619
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Prevention of Post Operative Complications among Orthopaedic Patients with External Fixators

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1617 Prevention of Post-Operative Complications among Orthopaedic Patients with External Fixators Afjal Khan Assistant Professor, Shri Venkateshwara School of Nursing, Gajraula, Uttar Pradesh, India ABSTRACT External fixation is a surgical treatment used to bone fractures in which a plaster cast would not permit suitable alignment of the fracture. This type of reduction, holes is drilled into uninjured region of bones around the fracture and special bolts or wires are screwed into the holes. Outside the body, a rod or a curved piece of metal with special ball-and-socketjoints thebolts tomake a rigid support. External fixation offers several advantages over otherfixation methods but has its complications, the most common being pin site infection Hence the researcher had taken up a pre-experimental onegrouppretestpost test research study to evaluate the effectiveness of structured teaching programme on knowledge regarding prevention of post-operative complications among orthopedic patients with external fixators in J.K. Hospitals at Bhopal. KEYWORDS: Orthopaedic Patient, Prevention of Post-Operative Complication with External Fixators, Knowledge How to cite this paper: Afjal Khan "Prevention of Post-Operative Complications among Orthopaedic Patients withExternalFixators" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-5 | Issue-4, June 2021, pp.1617-1619, URL: www.ijtsrd.com/papers/ijtsrd43682.pdf Copyright © 2021 by author (s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http: //creativecommons.org/licenses/by/4.0) STATEMENT OF THE PROBLEM “A Study to Evaluate the Effectiveness of Structured Teaching Programme on Knowledge Regarding Prevention of Post-Operative Complications among Orthopaedic Patients with External Fixators in J.K. Hospital at Bhopal” OBJECTIVES 1. To assess the pre-test knowledge regarding prevention of post-operative complications among orthopedic patients with external fixators. 2. To develop and administer structured teaching programme regarding prevention of post-operative complications among orthopedic patients with external fixators. 3. To evaluate the effectiveness of structured teaching programme by comparing the pre-test and post-test knowledge scores. 4. To determine the association between pre-test level of knowledge regarding prevention of post-operative complications among orthopedic patients with external fixators with selected socio demographic variables. METHODS The pre-experimental design of one group pre test post test design was used for the study. The study was conducted at J.K hospital Bhopal. Sample of 40 patients with external fixation based on inclusion criteria were chosen by means of purposive sampling technique. The data tool were validated by experts, the reliability and feasibilityweredetermined by the pilot study. The data for the study was collected by structuredinterviewschedulefollowingwhichsamples were subjected to Structured Teaching Programmeonprevention of post-operative complications among orthopedic patients with external fixators for duration of 45 minutes. Post test was done on 7th day following intervention. The same tool used to conduct the post test. The data was analyzed by using descriptive and inferential statistics RESULTS The result of the study showed that the mean post test knowledge score (20.7) was significantly higher than the mean pre test score (11.3) and the ‘t’ value computed between the pre test and post test score was statistically significant at 0.05 level (t =34.18). Hence the structured teaching programme was effective. The result of Chi-square analysis indicated that there was significant association between pre test knowledge score with source of information of orthopaedic patient with external fixation. CONCLUSION:- Study shows that the patients with external fixator have inadequate knowledge regarding prevention of post- operative complication of external fixator. Teaching programmes like this can improve the knowledge. REFERENCES:- [1] Maheswari. J. Essential Orthopaedics.3rd edition Revised. New Delhi. Mehta Publishers; 2007.p-228- 232. [2] Waugh Anne, Grant Allison. Anatomy and physiology in health and illness. 9th ed. Churchill Livingstone Publication; 2003. P-149-55 IJTSRD43682
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1618 [3] Lewis, Heitkemper, Dirksen.MedicalSurgical nursing. 6th edition. New york. Mosby publishers;2004.p-929- 33 [4] Basavanthappa B T, Ebenezer John. Orthopedics for Nurses.6th edition.NewDelhi.JaypeeBrothers Medical Publishers pvt ltd; 2005.p-347-367. [5] Maurice-Williams R S. Oxford Textbook of Orthopedics.2nd Ed. England: OxfordUniversity Press; 1992.p.21.112-21.115 [6] Turek Samuel L. Orthopaedics. Principles and Their Application. 4th edition. New York. J B Lippincott Company Publishers; 1984.p-1488-1507. [7] Jordan S. Managing external fixation. 12 December 2011. Available from: URL:http://www.wikimedia.org.com. [8] Black M Joyce, hawks JaneHokanson.Medical surgical nursing. 7thedition.Philadelphia. Saunders an imprint of Elsvier; 2005.p -2161- 2170. [9] Sems SA, Levy BA. Incidence of external fixation for complex lowerextremityinjuries.AmericanJournalof Trauma. 2010 Apr;66(4):1164-6.AvailablefromURL: http://journal-archieves22.webs.com/646-654 [10] Furman, Michael B.Needfor external fixation. Journal of Orthopaedics 2009; 256(7):654-65.Available from URL: http//www.medscape.com. [11] David Zieve, Harvey Simon. In-Depth Report: complication of external fixation. Europeanjournal of medicine 2009 May;43(6):618-25.Available from URL:http://www.ncbi.nlm.nih.gov/pubmed [12] Patricia Brisley, Lynda-Mary Wood. Effects of chlorhexidine solution for cleaning pin site .Stud Health Technol Inform 2012; 176:411-4. Available from URL: http://www.ncbi.nlm.nih.gov/pubmed [13] Dureja.G.P. Management on external fixation. Indian journal of nursing studies 2008; 56(8):456- 64.Available from URL: http//www.drgpd@yahoo.com [14] Standaert CJ, Friedly J, Erwin MW.Early detection of infection. 2011 Oct1;36(21 Suppl):S120-30.Available from URL: cjs1@uw.edu. [15] The New York Times. Care of external fixation: A systematic overview 2011 November 8; 34(7):3. [16] Wikipedia, the free encyclopedia.External fixationis a surgical procedure.2010.Available from: http://www.druabuse.gov/ [17] Mathew SS. preventionofpostoperativecomplication of external ficators. BMC MusculoskeletDisord 2011 Sep 23; 12:207. Available from URL: jeannette.saner@zhaw.ch [18] Harish K. knowledge regarding active and passive exercise among orthopedic disabled patients at bangloure. DisabilRehabil 2011 Sep 29;15(8):191- 195. Available from URL: http://www.ncbi.nlm.nih.gov/pubmed. [19] Jemnikurian. Problems related to immobilization among orthopedic patients. Research & Therapy 2010;12(5):134-136.Available from URL: http://arthritis-research.com/content/12/5/R193 [20] Friegbreg RJ. Preventive measures of complications associated with external fixation. ActaOrthopScand J 2010 Jul;10(7):575-80.Available from URL: http://www.ncbi.nlm.nih.gov/pubmed/20347400?re port=abstract@hss.edu [21] Maxwell. Asses the knowledge on post operative care of external fixation. Scand J Public Health. 2010 Nov;38(7):731-8.Available from URL: emhagen@online.no [22] PrithamBansal. self care and home based management to prevent the complication of external fixation. A Descriptive Study. IntJPublicHealth.2010; 52(5):286-94.Available from URL: peter.schulz@lu.unisi.ch. [23] American orthopedic association. External fixation process is complex surgical procedure. Clinical Journal of orthopedic 2010 August; 26(6):533- 40.Available from URL: http://www.ncbi.nlm.nih.gov/pubmed. [24] Richard MJ. Analysis of complications of palmar plating versus external fixation. Journal of Advanced Nurses 2010 July;66(7):1478-86.AvailablefromURL: http//ncbi.nlm.nih.gov/pub med [25] DorfmullerG,HollerhageHG. Severeintracranialinjury from a fall in the halo external fixator. European Journal of Physical and Rehabilitation medicine 2010 December; 46(4):489-96.Available from URL: http//www.ncbi.nlm.nih.gov/pubmed. [26] Wukich DK. coplication encountered with circular ring fixation in persons with diabetes mellitus.Eur J Pain. 2010 Mar;15(3):313-9.Available from URL: k.m.dunn@cphc.keele.ac.uk [27] Probe R.A study was conducted on refracture of adolescent femoral shaft fractures. Ann Phys Rehabil Med. 2009 Jul;52(6):485-96.Available from URL: bensalah@yahoo.fr [28] Palmer s. A retrospective study was conducted to assess surgical complications and implications of external fixation of pelvic fractures. 2009 Feb 1; 34(3):221-8. Available from URL: eva.rasmussen.barr@ki.se [29] Mason WT. complication of temporary and definitive external fixation of pelvic ring. Physio Therapy and Occupational Therapy 2009;11(3): 432-55:Available from URL: http//www.medscape.com. [30] Lerner A.complications encountered while usingthin hybrid external fixation modular frames for fracture fixation in Israel. The national medical journal of Ammerica.2005;vol.14:209-11.available from:www.nlm.nih.gov/pubmed [31] AhlborgHg, JosefssonPo.pin tract complications in external fixation in Sweden.1999;Feb;28(2):97- 102.Available from URL: http//ncbi.nlm.nih.gov/pub med [32] Sandeeppatil, Ansukapur. External fixation of distal radial fractures. Annals of Internal Medicine 2001;
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD43682 | Volume – 5 | Issue – 4 | May-June 2021 Page 1619 45(6):618-25.Available from URL:http/www.ncbi.nlm.nih.gov/pubmed. [33] WTM Mason. Complication of temporary and definitive external fixation of pelvic ring injuries. A retroseptive study.J Manipulative PhysiolTher. 2005 Feb;28(2):97-102.Available from URL: http//ncbi.nlm.nih.gov/pub med. [34] RP Clifford. Complication of external fixation of open fractures of the tibia. A Meta-Analysis. Oxford Journals. American Journal of Epidemiology 2009 October; 171(2):135-154.Available from URL: http//www.ncbi.nlm.nih.gov/pubmed. [35] Gregary P.A study on early complications with external fixation of paediiatric femoralshaft fractures in a referral hospital in Kenya. 2000September;3:50- 52.Available from URL: http//www.kongeti@yahoo.com. [36] Yethen shah. Identify the failure rate of external fixation due to post operative complications in Yemen.2008 Oct;90(10):1734-9.Available from URL: pescolar@um.es [37] AfsanehKhademic. A cross sectional study to determine the prevalence of pin tract infection. BMC Musculoskelet Disord. 2010 Jan 31; 8:10. Available from URL: j.silcock@leeds.ac.uk