Prospective Study of Surgical Management of Distal Tibial Fractures in Adults

Bhairi, akumar; Mahesh, Ullas; Qureshi, Ammar T.; Kumar, S. Praveen; Kumar, Mahesh; Shivalingaiah, Kirthi

doi:10.4172/2167-1222.1000375

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…Functional results were graded according to the criteria by Johner and Wruh's Criteria 9 . 43.33 % of patients achieved excellent results, 33.33 % of patients achieved good results, 16.67 % fair results were achieved and in two patient, the functional results were poor (6.67%) comparable with study done by Nandakumar Bhairi et al [15] .…”

Section: Resultssupporting

confidence: 85%

Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study

Kenganal¹,

Nayak²,

Kumar³

2019

Int. J. Orthop. Sci.

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Introduction: Tibia is the most commonly fractured bone due to road traffic accidents and other highenergy trauma and surgical management is required for most of these fractures, with either internal or external fixation. Locked intramedullary nailing has been widely accepted as a satisfactory treatment of tibial fracture. The indications of their use have been extended to fractures closer to proximal / distal fragments with introduction of expert tibial nail. It is a new kind of low, multidirectional locking tibial intramedullary nail developed to attain increased angular stability and to enhance the axial and lateral stability of fracture fragments. Aim: To study the functional outcome and duration of union of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail. Methodology: Study was done in 30 patients with fresh tibial metaphyseal/diaphyseal fractures treated surgically with expert tibial nail between October 2016-March 2018. Patients were followed up at 6 weeks, 3 months, and 6 months. The intra-operative blood loss, duration of surgery, intra operative complications, post-operative complication, and duration of hospital stay were studied. Functional outcome was assessed based on Johner and Wruh's Criteria. Results: Among the 30 patients treated with expert tibia nail for metaphyseal/diaphyseal tibial fractures, 25 were male and 5 were females. Most of patients were in the age group ranging from 20-30 years with a mean age group of 40.1 years. The mode of injury for 24 patients was road traffic accidents which accounted for about 80 %, 5 were due to fall which accounted for 16.67 % and 1 was due to assault which accounted for 3.33 %.16 cases sustained right side tibia fracture and 14 cases sustained left side tibia fracture. The average period of commencement partial weight bearing was 7 weeks and full weight bearing was 13.43 weeks. Excellent results were seen in 43.33% cases, Good results were seen in 33.33%, Fair results in 16.67 %, poor results in 6.67% according to Johner and Wruh's Criteria. Conclusion:Our results with expert tibial interlocking nailing are encouraging and demonstrate the benefits of new nailing system. Changes in the design of the nail for improved proximal and distal locking enables it to use in metaphyseal/diaphyseal fractures of tibia. A better stabilization of small fragments has been achieved by the availability of locking option in three planes, thus providing a higher stability of the bone implant construct. Complications were comparable to other studies.

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Section: Resultssupporting

confidence: 85%

Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study

Kenganal¹,

Nayak²,

Kumar³

2019

Int. J. Orthop. Sci.

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A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study

Mahmoud,

Younger,

Morris

et al. 2024

Journal of Orthopaedics, Trauma and Rehabilitation

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Background: This retrospective study aimed to assess whether delaying flap coverage in open midshaft tibia fractures leads to higher infection rates. Methods: Patients were recruited retrospectively from a tertiary trauma database between 2012 and 2020. Patients included were over 18-years old and had an open tibia fracture that required flap coverage with at least 6 months follow-up. The collected complications were deep infections, aseptic non-union, flap failure and revision surgery. Results: Group-A ( n = 18) and Group-B ( n = 37) were analysed. Deep infections rate was 6% in Group-A and 38% in Group-B which was significantly different, χ2(1, N = 55) = 6.4, p = 0.01. The rate of revision surgery was 17% in Group-A and 54% in Group-B and was significant, χ2(1, N = 55) = 7, p = 0.008. Binary logistic regression showed that Group-B were 10 times more likely to develop a deep infection (95% confidence interval 1.2–83, p = 0.034). Conclusion: Delaying soft tissue coverage of open tibia fractures for over a week increases the risk of deep infection and revision surgery.

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Prospective Study of Surgical Management of Distal Tibial Fractures in Adults

Cited by 2 publications

References 26 publications

Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study

Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study

A delay in flap coverage of open midshaft tibia fractures increases complications: A retrospective study

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