Study of Tibia-Fibula Fracture & its Effect on Union of Fracture & Prognosis
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 8
Abstract
Background : Ever since mankind came into existence and progressed to modern civilization, the incidence of trauma has increased by leaps and bounds. In particular, fractures of the shaft of the tibia and fibula present one of the most challenging problems in orthopaedic surgery today. Our main purpose today is to return full function in the shortest possible time. The study was undertaken to evaluate whether the level and type of fracture and type of trauma have any effect on the union and ultimate prognosis. Methods: A series of a consecutive 100 cases of fractures of the shaft of the tibia and fibula, was studied. Closed and open fractures were studied. No single method of management was used and the overall results of the whole study, were evaluated. Result : Maximum number of cases (72%) had comminuted fractures as a result of 3irect high energy trauma and they showed a much longer time in fracture union (23 weeks) in comparison to cases with transverse and oblique fractures. which got united within 21 weeks and 20 weeks respectively. Children showed a much earlier union at an average of about 13 weeks in comparison to the adults who took 20 to 25 weeks for fracture union. A direct correlation of the age was not observed which is discussed later. Conclusion : In the present series, the incidence of non union was relatively high. This is due to the fact that, all the cases were open fractures with contamination due to high energy trauma.
Authors and Affiliations
Dr. Gautam Shah, Dr. Joti Bagul
Keywords
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