A Case of Chronic Bilateral Tibial Stress Fractures Treated with Intramedullary Nailing
Journal Title: Journal of Orthopaedic Science and Research - Year 2024, Vol 5, Issue 3
Abstract
Introduction: Stress fractures are a type of overuse injury that frequently affects athletes, military personnel and individuals with endocrine disorders. Research has indicated that cases of anterior tibial stress fractures that do not respond to conservative treatment can be successfully treated using intramedullary nailing. To date, there has been a single documented case of patients with both tibial stress fractures treated with bilateral intramedullary nailing and all of them were professional athletes. This report examines the case of an individual who did not participate in sports and had persistent stress fractures in their lower legs, which were effectively treated by inserting two nails into the bone. Case Report: A 23-year-old male student who was a full-time student came to the clinic with persistent pain in both of his shins that had been bothering him for about five years. He had experimented with different conservative treatments, but none of them had provided any relief from his symptoms. The diagnosis of chronic bilateral tibial stress fractures was established by examining the patient’s medical records, performing a physical assessment and employing imaging methods. The patient received sequential intramedullary nailing for both of their tibiae. Even though both tibiae exhibited valgus alignment, it did not impact the placement of the nails. As the nails were inserted into the sclerotic canals, they adapted to the existing deformity, aligning themselves accordingly. The postoperative assessment revealed a successful fusion of the tibiae, providing significant relief from the patient’s symptoms. Conclusion: Overall, the application of intramedullary nailing offers a promising solution for managing chronic bilateral stress fractures, providing a viable option for patients who may otherwise face prolonged recovery times or persistent pain. By expanding the indications for this surgical technique, healthcare providers can improve outcomes for a broader patient population, ultimately enhancing their ability to return to normal activities and improving their overall quality of life.
Authors and Affiliations
Sharath Raj1*, Shrinivas VB2, Vijay Goni3
Keywords
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- EP ID EP751732
- DOI https://doi.org/10.46889/JOSR.2024.5309
- Views 1
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