Surgical versus conservative interventions for treating tibial shaft fractures in adults

Raju, Karthickeyan; Smith, Toby; Hing, Caroline B.; Solan, Matthew; Nielsen, Dominic

doi:10.1002/14651858.cd011095.pub2

Cited by 2 publications

(1 citation statement)

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“…It is also associated with crutches, non-weight bearing for six to twelve weeks, malunion, and poor patient compliance. 12 Fixation with a dynamic compression plate requires long immobilization after fixation and is more soft tissue damage which may lead to higher rates of infection at the fracture site. 13 External fixators (EF) used to treat tibial fractures have been associated with complications like reduction in bone size, mal-alignment and delayed bone healing.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Outcome of Intramedullary Nailing Versus External Fixator Fracture Repair in Gustilo Type IIIA Tibio Fibular Fracture

Ali

Jatoi

Hussain

et al. 2022

PAFMJ

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Objective: To compare the outcome of intramedullary nailing versus external fixator fracture repair in patients presenting with Gustilo Type IIIA tibiofibular fracture. Study Design: Cross-sectional study. Place and Duration of Study: Department of Orthopaedics, Jinnah Postgraduate Medical Center, Karachi Pakistan, from Feb to Nov 2020. Methodology: A total of 200 patients were included. Patients were divided into two Groups. In Group-1, intramedullary nailing was done. In Group-2, uniplanar external fixation was done. Both Groups were followed up for six months for assessment of bone union. Results: The mean age in the Intramedullary Nailing (IMN) Group was 39.21+6.24 years and in the External Fixator (EF) Group mean age was 37.48+8.41 years. In our study, it was found that 81(81%) patients in the EF-Group showed bone union, while 92 patients in the IMN-Group showed bone union. Malunion occurred in 10 in the EF-Group, while only six in the IMN Group. Non-union of bone was unfavourable in the 18 patients of EF- Group and 7 in the IMN-Group. The infection rate was also higher (16%) in patients treated with EF. We noted a significant association between union, non-union, infection and mode of treatment with the p-value of 0.023, 0.019 and 0.046, respectively. Conclusion: Bone union outcome of Gustilo IIIA open tibial shaft fractures appear superior when treated by Intramedullary Nailing technique compared to External Fixation.

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Section: Discussionmentioning

confidence: 99%