Differential Rates of Delayed/ Non–Union In Management of Tibia Fractures With and Without Associated Fibula Fracture

Dr. Mohan NS; Dr. Jithuram Jayaram; Dr. Chandrashekar HS

Volume : IV, Issue : V, May - 2014

Differential Rates of Delayed/ Non–Union In Management of Tibia Fractures With and Without Associated Fibula Fracture

Dr. Mohan Ns, Dr. Jithuram Jayaram, Dr. Chandrashekar Hs

Abstract :

BACKGROUND: In this clinical study, 20 cases of tibial shaft fracture with an average age group of 31 years were included. All were treated by closed reduction with internal fixation using intramedullary interlocking nail, in the Department of Orthopedics at Sanjay Gandhi Institute of Orthopedics And Trauma, Bangalore, Karnataka, the outcome and follow up were evaluated. Materials & Methods: 20 cases of fracture shaft tibia ,which included 10 cases(7 males, 3 females) of both bone leg fracture and other 10 cases(8 males, 2 females) of isolated tibia fracture with intact tibia were selected and treated using intramedul lary interlocking nail. History of 16 motor vehicle accidents, 1 sport accident, 2 home falls was present and another 3 cases was associated with femoral shaft fractures. Using AO classification the tibial fracture was Type A in 13 cases, Type B in 7 cases. Nails of diameter 9–12mm were used after reaming 1 more. Results: Postoperative period following 6 months, consolidation was achieved in 11 patients by first intension treatment, after dynamisation in 7 and nonunion in 2 patients. All patients were in the age group of 18 to 45 years with mean average age of 40 years. Two non– union in cases was managed successfully with dynamization and later bone grafting. Conclusions: Fracture of tibia with intact fibula is prone to delayed union and non union