Study of management of 10 complicated cases of distal tibial fractures in tribal population
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 3
Abstract
Distal tibia fractures are complex injuries with a high complication rate. In this retrospective, study, we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. Between 2015 and 2017, 10patients were admitted for distal tibia fractures. Internal fixation, external fixation, limited internal fixation (K-wires or screws), intramedullary nailing and conservative treatment were the different mode of treatment. The complications occurred in 3 patients. Predictive factors of poor results were fracture severity, complications, malunion severe skin and soft tissue injury. We believe that external fixation must be reserved for trauma with severe skin and soft tissue injury, as a temporary solution in a one/two-staged protocol. For other cases, we recommend ORIF with early mobilization.
Authors and Affiliations
Nandkishor Goyal, Prashant More, Varun Nishandar
Keywords
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- DOI 10.26611/1020835
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