- Visibility 82 Views
- Downloads 15 Downloads
Evaluation of different surgical modalities of treatment for various types of nonunion in tibia
- Author Details:
-
Lamture D.R.
-
Burande B.G.
-
Dhaniwala N.S.
Introduction: Non-union is a problem faced by most of orthopaedic surgeons. Tibia is the commonest site of non-union in long bone fracture. Management of non-union has remained a constant challenge .As tibia is subcutaneously located and has less blood supply in its distal part complicates the management of non-union of tibia. Present study was designed to assess the utility of various available modalities of treatment for different types of non-union of tibia.
Material & Methods: 32 patients of non-union of tibia admitted in orthopaedic ward during the period of January 2013 to December 2015were included in a prospective study. Detailed history, clinical examination conducted and diagnosis was confirmed after radiological examination. After that suitable plan of treatment was formulated and undertaken according to type of non-union.
Results: Results were excellent to good in 59.24%, satisfactory in 37% and poor in 3.7%.
Conclusion: Tibia is the commonest site of non-union in long bone fracture. Open reduction and internal fixation after freshening of bone ends and autologous bone grafting is the commonest mode of treatment in non-union Tibia management.
Keywords: Non-union, Tibia, Bone graft
References
- Novicoff WM, Manaswi A, Hogan MV, Brubaker SM, Mihalko WM, Saleh KJ. Critical analysis of the evidence for current technologies in bone-healing and repair. J Bone Joint Surg Am 2008;90 Suppl 1:85-91.
- ZuraR, Xion z, Einhorn T, et al. Epidemiology of fracture Non-union in 18 human, bones, JAMASurg:2016No.16;151(11):e1627754dol:10.1001/ja
[Google Scholar] masurg 2016:2775;epub2016nov16. - Ellis H. The speed of healing after fracture of tibial shaft. J. Bone joint surgery Br. 1958;40-B(1):42-6.
- Bauer GC, Edwards P, Widmart PH. Shaft fracture of tibia. Aetiology of poor results in a consecutive series of 173 fractures. Acta chir scand 1962;124:386-5.
- Harshal RK, Sankhala SS, Jalan d, management of non- union of lower extremity long bone using monolateral external fixator-report of 37 cases. Injury, 2014mar;45(3):560-
- dol:10:1016/5.Injury.2013:11.019.Epub 2013Nov27.
- Mcqueen MM, Christie J, court – brown CM. Acute compartment syndrome in tibia diaphyseal fracture. J bone joint surg Br;1996 Jan;78(1):95-8.[medicine]
- Schmitz MA, Finnigan M, Natrajan R, Effect of smoking on tibial shaft fracture healing. Clin orthop 1999 Aug 184-200:[medicine]
- Phemister DB. Treatment of Un-united fracture by onlay bone graft without screw or the fixation and without breaking down of the fibrous union. J. Bone Joint Surg.1947;29A or B 946-60.
- JOHNSON EE, SIMPSON LA, HELFET DL. Delayed intramedullary nailing after failed external fixator of tibia. Injury Jan: 1995;31-35.
- McLAREN AC, BLOCKER CP. Locked intramedullary fixation for metaphyseal mal-union and non-union. Clinic Orthop. 1989; No-265:253-256.
- Kok Long Pan, Shuker MH, M Ali Noor Ghani. Locked intramedullary nailing for complex non-union of the tibia. Injury 1994; Vol-25:655-657.
- Dawson WJ, Mead MC, Sweeney HJ, Schafer MF. Onlay fibular bone grafting in treatment of tibial fracture non- union. Clinic Orthop. 1978; No.130:247-253.
- Wiss DA, Johnson DL, Miao M. Compression plating for non-union after failed external fixation of open tibial fractures. J Bone Joint Surg. (Am) 1992;44-A,1279-1285.
How to Cite This Article
Vancouver
D.R. L, B.G. B, N.S. D. Evaluation of different surgical modalities of treatment for various types of nonunion in tibia [Internet]. Indian J Orthop Surg. 2017 [cited 2025 Oct 06];3(2):124-127. Available from: https://doi.org/
APA
D.R., L., B.G., B., N.S., D. (2017). Evaluation of different surgical modalities of treatment for various types of nonunion in tibia. Indian J Orthop Surg, 3(2), 124-127. https://doi.org/
MLA
D.R., Lamture, B.G., Burande, N.S., Dhaniwala. "Evaluation of different surgical modalities of treatment for various types of nonunion in tibia." Indian J Orthop Surg, vol. 3, no. 2, 2017, pp. 124-127. https://doi.org/
Chicago
D.R., L., B.G., B., N.S., D.. "Evaluation of different surgical modalities of treatment for various types of nonunion in tibia." Indian J Orthop Surg 3, no. 2 (2017): 124-127. https://doi.org/