Usage of tobacco is a global epidemic regardless of age and sex, and all the nitty-gritty of its harmfulness has been documented, taught and spread to every nook and cranny, it is still being considered a social status as a ‘cool quotient’ especially in youth. While, 8-9 lakh deaths every year in India are attributed to have caused by tobacco in varied forms, having a significant implication in the nation’s public health, the use of smokeless tobacco, highly prevalent in India - accounting for 74 percent of the global burden, and exceeds cigarette smoking in both men and women, is to be worried much about too.
Management of open fractures of long bones with bone loss by the conventional systems is very intratrcate and complex. Limb reconstruction system (LRS) is well thought-out as very contemptible, effectual method which and offers rigid stabilization of fracture fragments and with an easy access to soft tissue heed. The aim of the study was to determine the usefulness of LRS for treatment of open fractures of long bones of the lower limb with substantial bone loss. Methods: This prospective study included 25 cases of either sex aged between 11-70 years without any chronic ailment. Their clinical and radiological evaluation was done at first presentation and at specific intervals for signs of bone union and/or with associated complications if any. Results: The mean age of the patients was 35.6 years with male preponderance (80%). Most of the patients (80%) were injured by road traffic accidents (RTA). 50% of the cases were of Grade 2 (GUSTILO classification) type of fractures. The most common complication encountered was pin tract infections seen in 6 cases. We observed good results in 19 patients, moderate in 04 and poor in 02 patients using modified Anderson and Hutchinson’s criteria. Conclusions: LRS is a substitute/alternative to the conformist system of fixation in the primary management of open fractures of long bones with substantial bone loss. It is less cumbersome, economical to the patient and more patient friendly also. It is thus an authoritative prime single stage procedure.