scholarly journals Functional Cast Bracing in Selected Cases of Tibial Shaft Fracture in the Population of Odisha - A Prospective Study

2021 ◽  
Vol 8 (9) ◽  
pp. 462-466
Author(s):  
Manoranjan Mallik ◽  
Ramesh Chandra Maharaj ◽  
Pravat Kumar Rout ◽  
Debi Prasad Nanda ◽  
Prajnadipta Rout
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Full Range ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union ◽  
Fracture Tibia ◽  
A Prospective Study ◽  
Ideal Method

BACKGROUND Tibial shaft fracture is one of the commonest fractures encountered in orthopaedic clinics today. With recent trend being surgical management, it has increased the economic burden in developing countries like India. Thus, interest in functional cast bracing can manage many of the fractures safely with less cost and shorter hospital stay with equally good results. METHODS This prospective study included 30 patients with closed tibial shaft fracture with minimal displacements who were treated with 3 weeks of initial long leg cast followed by functional cast bracing as described by Sarmiento in 1967 with a below knee patellar tendon bearing (PTB) cast with encouraged progressive weight bearing for 6 to 9 weeks. Our goal was to achieve shortening of < 10 mm, angulations of less than 5 degrees in any plane with full range of motion at knee as per Sarmiento. RESULTS Union was seen in 25 (83 %) cases. Angulations of < 5 degrees was noted in any plane in 79 % cases. Varus and apex posterior angulations were the most common deformity. Shortening 10 mm was noted in 72 % cases with almost complete ROM of knee joint in all patients. Non-union was noticed in 2 (7 %) cases. CONCLUSIONS Functional cast bracing can still be an ideal method of management for many of the tibial shaft fractures and with better understanding of the technique and proper application, it can safely be used on other long bones as well. KEYWORDS Closed Fracture Tibia, Functional Cast Brace

scholarly journals Union in Fracture Tibia Managed with Closed Intramedullary Interlocking Nail, Our Hospital Results

2021 ◽  
pp. 286-291
Author(s):  
Lachman Das Maheshwari ◽  
Muhammad khan Pahore ◽  
Madan Lal ◽  
Syed Salman Adil ◽  
Bheesham Kumar ◽  
...  
Keyword(s):  
Low Cost ◽  
Full Range ◽  
Early Mobilization ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Health Science ◽  
Outpatient Clinics ◽  
Tibial Shaft Fracture ◽  
Interlocking Nail ◽  
Fracture Tibia

Introduction: The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail. Methods: This research was carried out at Liaquat University of Medical and Health Science Jamshoro Pakistan from June 2020 to June 2021. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. Our study's clinical outcomes were categorized as union, nonunion, delayed union, or malunion based on the criteria. All of the patients were given anesthesia, either general or spinal. All of the patients were tracked for a period of nine months. Results: In 90–150 days, about 88 percent (220/250) of patients had union, with a mean of 110.68. Union occurred in 11.2 percent (28/250) of patients in 95–109 days, with a mean of 103.38. There were 7.2 percent (18/250) delayed unions and 4.8 percent (12/250) non unions treated with dynamization and bone transplant. The outcomes were outstanding in 88 percent (220/250) of the patients and good in 7.2 percent (18/250). Our patients all had full range of motion in their knees and ankles at the time of their examination. Conclusion: We found that this approach is beneficial due to early mobilization (early weightbearing), reduced complexity, good outcomes, and low cost.

scholarly journals A prospective study on clinical outcome of humerus shaft fracture and nonunion treated with antero medial plating

2019 ◽  
Vol 6 (1) ◽  
pp. 158
Author(s):  
Deepak Kaki ◽  
Naveen Babu Thalambedu ◽  
Sunil Malagan ◽  
Karthik Gudaru ◽  
Jagadesh Gudaru
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Anterior Approach ◽  
Shaft Fracture ◽  
Dash Score ◽  
Non Union ◽  
Shaft Fractures ◽  
Humerus Shaft Fracture ◽  
A Prospective Study ◽  
Humerus Shaft

<p class="abstract"><strong>Background:</strong> Humeral shaft fractures have an incidence of 13 per 100000 per year and account for 3% of total fractures. The following study is carried out with intention for determining and verifying facts around plate osteosynthesis on anteromedial surface of humerus through anterior approach.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 38 patients presenting with humerus shaft fracture and non-union to the Balaji Institute of Surgery Research and Rehabilitation for the Disabled (BIRRD) from April 2015 to March 2016.<strong> </strong>Inclusion criteria<strong> </strong>were age&gt;18 years, acute humerus shaft fractures and nonunion of humerus shaft. Exclusion criteria were undisplaced fractures, fractures associated with neurovascular injury, compound and pathological fractures, infected non unions. The functional outcome was graded based on the QuickDASH score. Fisher’s exact test was used to find the association between categorical data.<strong></strong></p><p class="abstract"><strong>Results:</strong> Clinical union was noted in 87% of the patients and radiological union in 74% at the end of three months. The average time period required to achieve union was 13.57 weeks. Based on Quick DASH score, 66% of them had excellent outcome, 24% had good outcome, 10% had fair outcome, and none had poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> It may be concluded that, anteromedial plating through anterior approach for the treatment of humerus shaft fractures and non union leads to a satisfactory functional outcome in most of the patients. Most of the fractures were united by 3 months with good range of motion of shoulder and elbow.</p>

scholarly journals Delayed Tibial Shaft Fracture Healing Associated with Smoking: A Systematic Review and Meta-Analysis of Observational Studies Conducted Worldwide

2021 ◽  
Vol 18 (19) ◽  
pp. 10228
Author(s):  
Akanksha Mahajan ◽  
Narinder Kumar ◽  
Bhawna Gupta
Keyword(s):  
Systematic Review ◽  
Fracture Healing ◽  
Observational Studies ◽  
Meta Analysis ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Cochrane Library ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

Tibial fractures represent a great burden of disease globally, being the most common long-bone fracture; smoking is a known risk factor for delayed skeletal healing and post-fracture complications. This systematic review and meta-analysis aims to analyse the effect of smoking on healing of tibial shaft fractures. PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched from inception to March 2021, with no limitation on language, to find relevant research. All observational studies that assessed the association between cigarette smoking and tibial shaft fracture healing in adults (≥18 years) were included. The quality of studies was evaluated using the Newcastle Ottawa Quality Assessment Scale. A random effects model was used to conduct meta-analysis. Tobacco smoking was associated with an increased rate of non-union and delayed union as well as an increase in time to union in fractures of the tibial shaft. Among the 12 included studies, eight reported an increased rate of non-union, three reported delayed union, and five reported an increase in time to union. However, the results were statistically significant in only three studies for non-union, one for delayed union, and two studies for increased time to union. This review confirms the detrimental impact of smoking on tibial shaft fracture healing and highlights the importance of patient education regarding smoking cessation.

scholarly journals Symptomatic fibular non-union after union of accompanying tibial shaft fracture

Injury Extra ◽  
2006 ◽  
Vol 37 (3) ◽  
pp. 135-137 ◽  
Author(s):  
M.C. Kokkinakis ◽  
A. Bebbington ◽  
P.R.M. Black
Keyword(s):  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

scholarly journals Treatment of Non-Union after Tibial Shaft Fracture with a Full Cortical Thickness Inlay Bone Graft

1992 ◽  
Vol 97 (2) ◽  
pp. 169-176
Author(s):  
G. Hansson ◽  
R. Jerre ◽  
G. Markhede ◽  
G. B. J. Andersson
Keyword(s):  
Bone Graft ◽  
Cortical Thickness ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Non Union

scholarly journals Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Shivanshu Mittal ◽  
Atul Prakash ◽  
Vivek Kumar David ◽  
Somit Sarkar
Keyword(s):  
Case Report ◽  
Ankle Fracture ◽  
Weight Bearing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Age Group ◽  
Tibial Shaft ◽  
Triplane Fracture ◽  
Pediatric Orthopedic ◽  
The Right

Introduction: Triplane fracture of ankle is a rare adolescent injury. Its association with ipsilateral tibial shaft fracture is very uncommon in pediatric orthopedic traumatology and rarely reported in the literature till date. Timely diagnosis and management is required to optimize the outcome and avoid complications. Case Report: This is a case of a 14-year-old male who sustained a twisting injury to his right leg during early phase of COVID-19 pandemic. He sustained a three-part lateral triplane fracture of the ankle with a concomitant displaced spiral fracture of the shaft of the right tibia. He underwent close reduction under fluoroscopy and above-knee casting for 10 weeks followed patellar tendon weight-bearing cast for 4 weeks. Both fractures healed uneventfully in 14 weeks with patient returning to full activities in 22 weeks. Conclusion: The ankle injury in adolescent age group (12–15 years) can easily be missed in the presence of the more obvious tibial fracture and therefore, we recommend ankle assessment of all patients with tibial shaft fractures in this age group both clinically and radiologically. Keywords: Triplane ankle fracture, tibia shaft fracture, adolescent.

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