To compare outcomes in patients with diaphyseal fracture of tibia managed by intramedullary nailing with intact fibula vs fracture tibia with fibula
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 4
Abstract
ntroduction: Fractures of the tibia and fibula are relatively common and have been recognized as serious and debilitating injuries for centuries. The primary aim of the study was to compare outcomes in patient with a diaphyseal fracture of tibia managed by intramedullary nailing with intact fibula Vs fracture both bone of the leg. Method: Total of 72 patients were included in this study. They were divided into 2 groups. Group A (12 out of 72) comprised patients with tibial diaphysis fracture alone, and Group B (60 out of 72) was made up of patients with both bone fractures of leg. Reamed intramedullary nailing was done in both Groups. Both the groups were followed up and compared in terms of duration of surgery, the rate of union. Result: The average duration of surgery (group A-108 minutes, Group B-98.6 minutes), the rate of union was longer [20 weeks in group A and 18.2 weeks in group B] in group A. Group A were more proven for union-related problem. In group A, the delayed union was seen in 6 (50%) cases out of which 4 united readily with fibular osteotomy/partial fibulectomy and 2 patients were diagnosed with non-union. In group B, the delayed union was seen only in 4 (6.66%) and none were progressed to non-union. Conclusion: Fracture tibia with intact fibula are more proven for union-related problems when compared to both bone leg fracture. Partial fibulectomy is an effective intervention in the management of delayed union in isolated tibia fracture.
Authors and Affiliations
Madhukar K. T, Moinuddin Basha K
Keywords
Related Articles
- EP ID EP295151
- DOI 10.18231/2395-1362.2017.0074
- Views 65
- Downloads 0
Sub muscular bridge plating for pediatric femur fractures – Review of 12 patients
Introduction The treatment of paediatric femoral fractures has been evolving from nonoperative modalities to operative intervention especially in older children Different methods of fixation include flexible intramedulla...
Proximal femoral nail v/s Dynamic hip screw in treatment of intertrochanteric fracture femur
Objectives Comparison of operative management and functional outcome of femoral intertrochanteric fractures by dynamic hip screw vs proximal femoral nail implantsMaterials and Methods During 2013 to 2016 50 patients with...
Partially Decalcified Allogenic Bone Graft - In Fibrous Dysplasis Treatment
Background: Fibrous d ysplasia o f the bone is a n unco mmon, congenital skeletal disord er, and it not inherited. Spontan eous resolution o f fibrous d ysplasia does not occur. Th ere is no cure for fibrous d ysplasia,...
The comparison of triceps reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus
Introduction: Intercondylar fractures owing to complex anatomy of elbow joint and neurovascular structures in surrounding makes it difficult to treat. Operative techniques like open reduction and internal fixation helps...
Serum procalcitonin as an early indicator for bone and joint infection
Background: Acute bone and joint infection is a common entity in Orthopaedics and very few studies have investigated role of Procalcitoninin the diagnosis of bone and joint infections. In our study the aim was to evaluat...