MANAGEMENT OF DIAPHYSEAL FRACTURES OF TIBIA IN ADULTS TREATED EITHER WITH CAST OR INTRAMEDULLARY NAILING WITH SPECIAL REFERENCE TO ENDERS NAIL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 60
Abstract
Fractures of the tibial shaft are important for the reason that they are common and controversial. The exposed anatomical location of the tibia makes it vulnerable to the direct blow and high energy trauma as a result of motor vehicle accidents, thus resulting in comminuted fractures, which are frequently open with significant loss of skin and soft tissues. Because of the high prevalence of complications associated with these fractures, management often is difficult and the optimum method of treatment remains a subject of controversy. MATERIALS AND METHODS We aim to study all the cases with diaphyseal fractures of tibia in adults. We also wanted to study clinically and radiologically the incidence, causes, types and various types of management of diaphyseal fractures of tibia with special emphasis on Ender nailing. Finally, we compared our results of cases managed by different treatment methods. CONCLUSION Out of the various treatment modalities, in our experience surgical management of diaphyseal tibia fractures has better functional outcomes compared to conservative management. The incidence of complications like knee and ankle stiffness and malunion are much lesser in surgical management compared to the patients managed conservatively. Out of the two surgical methods, patients operated with IMIL nails had better function and lesser complications.
Authors and Affiliations
Ravi H. G, Supreeth , Adarsh , Pramod , Gurumurthy , Ishani
Keywords
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- EP ID EP149373
- DOI 10.14260/jemds/2016/964
- Views 81
- Downloads 0
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