A Study on The Analysis of Functional Outcome of Displaced Distal Third Tibio-Fibular Fractures Treated By Fibula Fixation And Tibial Interlocking Nailing
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background: Diaphyseal fractures in the tibia are one of the commonest ones encountered in clinical practice and of which the distal third involvement accounts for about one-fourth. Various treatment modalities have been in practice from conservative management to operative modalities like plate fixation, Interlocking nailing, combined nail and plate fixation. The aim of this study was to identify the relevance and advantages of fibular fixation in lower one-third fractures of both bones of leg treated by tibial interlocking nailing. Materials and Methods: 15 patients who presented with fracture in the distal third region of tibia and fibula underwent interlocking nailing for tibia and plate fixation for fibula were analysed prospectively. With an average follow up period of 11.3 months (6 to 18 months) patients were analysed radiologically and clinically, and the final outcome classified by Johner and Wruch’s criteria. Results: The mean time to union was around 5 months (4 to 7). 12 out of 15 patients had coronal plane mal-alignment, of which one (out of 15) patient had excess varus angulation of 8 degrees. All the other patients had an acceptable level of malalignment(less the 5 degrees). According to Johner and Wruch’s criteria 12 out of 15 (80%) patients had good to excellent results, 3 out of 15 (20%) had fair results and no patient had a poor result. 2 out of 15 patients had a superficial wound infection at the fibula site, which was managed with intra-venous antibiotics. Conclusion: Fixation of fibula in cases of distal third fractures of both bones of leg where the tibial fracture is treated by intramedullary interlocking nail offers better outcomes by reducing the incidence of tibial malalignment (varus/valgus).
Authors and Affiliations
Kailash Sarathy, Muthukumar Kaliamurthy, Mohan Prasad Muthusamy
Keywords
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- EP ID EP255922
- DOI 10.9790/0853-1609031016
- Views 70
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