scholarly journals Results of non-surgical treatment of isolated closed tibial shaft fractures

2021 ◽  
Vol 12 (4) ◽  
pp. 2303-2307
Author(s):  
Nizam Ahmed ◽  
Madan Lal ◽  
Niaz Hussain Keerio ◽  
Ghazanfar Ali Shah ◽  
Aftab Alam Khanzada ◽  
...  
Keyword(s):  
Delayed Union ◽  
Tibial Fractures ◽  
Tibial Shaft ◽  
Physical Handicap ◽  
Shaft Fractures ◽  
The Mean ◽  
Non Surgical Treatment ◽  
Tibial Shaft Fractures

This Research aimed to see how well isolated closed tibial fractures retained their reduction after being immobilized in a cast. Medical data were gathered for all patients of identified solitary closed tibial shaft fractures treated non-surgically. Males were more typically impacted than females among the 32 individuals evaluated. The mean age was 27.68 years old (SD=7.06). Direct trauma with motorcycle was the most prevalent causes of injury. The average follow-up time for each patient was 9.1 months (SD=2.36). According to the AO/OTA classification, 34.4 % of the fractures are A1.1, 28.1% are A2.1, and 37.5 % are A3. The average time for all fractures to heal was 13.7 weeks (SD=3.24). In the 22nd week, there was one occurrence of delayed union. Shortening of bone was less than 1 cm in 93.75 % of patients and more than 1.5 cm in 6.25% of patients. In 2 (6.25%) of the patients, the anterior or posterior angulation was more than 10 degrees. Furthermore, even with uncomplicated tibial fractures, there appears to be a debate about therapy selection when considering long-term physical handicap and a longer follow-up time.

Long-Term Follow-up of Tibial Shaft Fractures Treated With Intramedullary Nailing

2008 ◽  
Vol 22 (8) ◽  
pp. 525-529 ◽  
Author(s):  
Kelly A Lefaivre ◽  
Pierre Guy ◽  
Holman Chan ◽  
Piotr A Blachut
Keyword(s):  
Intramedullary Nailing ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Long Term Follow Up ◽  
Tibial Shaft Fractures

scholarly journals Is Nail Dynamization Useful In Delayed Union of Tibial Shaft Fractures? A Systematic Review and Meta-Analysis

2021 ◽  
Vol 02 (03) ◽  
Author(s):  
Germán Garabano ◽  
Leonel Perez Alamino ◽  
Daniel Veloz Serrano ◽  
Santiago Iglesias ◽  
Javier Mariani ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Delayed Union ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

scholarly journals Suprapatellar versus infrapatellar approaches in the treatment of tibia intramedullary nailing ： A retrospective cohort study

2019 ◽  
Author(s):  
Yiliang Cui ◽  
Xingyi Hua ◽  
Florian Schmidutz ◽  
Jian Zhou ◽  
Zongsheng Yin ◽  
...  
Keyword(s):  
Blood Loss ◽  
Intramedullary Nailing ◽  
Functional Outcomes ◽  
Operation Time ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Significant Difference ◽  
Special Surgery ◽  
Tibial Shaft Fractures

Abstract Background: Tibial shaft fractures are routinely managed with intramedullary nailing (IMN). An increasingly accepted technique is the suprapatellar (SP) approach. The purpose of this study was to compare the clinical and functional outcomes of knee joint after tibia IMN through an suprapatellar (SP) or traditional infrapatellar (IP) approach. Methods: Retrospective analysis was performed in patients with tibial shaft fractures that were treated with IMN through a SP or IP approach between 01/01/2014 and 31/12/2016. The clinical and functional outcomes of the knee were assessed with the Hospital for Special Surgery (HSS) Knee Score. Secondary outcomes included the operation time and intraoperative blood loss. Results: A total of 50 patients/fractures (26 IP and 24 SP) with a minimum follow-up of 15 months were evaluated. All fractures were OTA 42. No significant differences were found between the two groups in age, gender, side of fractures, operation time, intra-operative blood loss, and follow-up time. No significant difference was seen in HSS score ( P = 0.62) between them. Sub analysis of all the HSS components scores revealed no significant differences between pain ( P = 0.57), the stand and walk ( P = 0.54), the need for walking stick ( P = 0.60) and extension lag ( P = 0.60). The other HSS components showed full scores (IP 10 vs. SP 10) in both approaches, including muscle force, flexion deformity and stability components. The range of motion (ROM) component score was superior in the IP group ( P = 0.04) suggesting a higher ROM. Conclusions: Both SP and IP approach results in equivalent overall HSS knee scores. However, for the HSS component, the IP approach was superior to SP approach regarding the ROM.

Management of Closed Tibal Shaft Fractures with Reamed Interlocking Nail

2021 ◽  
Vol 15 (5) ◽  
pp. 1193-1195
Author(s):  
S. A. Shah ◽  
M. S. Zardad ◽  
A. Saboor ◽  
I. Muhammad ◽  
M. Ullah
Keyword(s):  
Traffic Accident ◽  
Tibial Shaft ◽  
Union Rate ◽  
Emergency Ward ◽  
Interlocking Nail ◽  
Medical College ◽  
Shaft Fractures ◽  
Segmental Fractures ◽  
Tibial Shaft Fractures

Objective: The aim of this study is to determine the effectiveness of reamed interlocking nail in the management of closed tibal shaft fractures. Study Design: Descriptive/ Observational study Place and Duration: Study was conducted in Orthopaedic Unit Ayub Medical Teaching Institute Abbottabad and DHQ Teaching Hospital Gomal Medical College Dera Ismail Khan for nine months duration from January 2019 to September 2019. Methods: Total 80 patients of both genders were presented in this study. Age ranges of enrolled cases were 20-70 years. Demographically details of enrolled cases were recorded after taking written consent. Patients who had tibial shaft fractures were admitted in emergency ward and underwent for reamed interlocking nail. Postoperatively union time and rate of complications were assessed. Complete follow up of the patients were take place in duration of 14-months. Data was analyzed by SPSS 20.0 version. Results: Mean age of the patients was 28.65±8.77 years with mean BMI 24.16±6.23 kg/m2. Out of 80 patients, 47 (58.6%) were males and 33 (41.4%) were females. Traffic accident was the most common cause of fracture found in 60 (75%) cases, followed by fall from the height 15 (18.75%) and the rest were others 5 (6.25%). Mean united time of simple fractures were 13.14±4.14 weeks while among segmental fractures union time observed 18.13±6.17 weeks. Frequency of union fractures was 62 (77.5%), delayed unions were 13 (16.25%) and non-unions were 5 (6.25%). Satisfaction rate was 72 (90%) among all cases. Conclusion: We concluded in this study that reamed interlocking nail was an effective and safest method for the management of closed tibal shaft fractures. Overall union rate in this study was 93.75% and showed less morbidity among cases. Keywords: Interlocking nail, Tibial shaft fractures, Union

scholarly journals Suprapatellar versus infrapatellar approaches in the treatment of tibia intramedullary nailing: a retrospective cohort study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Yiliang Cui ◽  
Xingyi Hua ◽  
Florian Schmidutz ◽  
Jian Zhou ◽  
Zongsheng Yin ◽  
...  
Keyword(s):  
Blood Loss ◽  
Intramedullary Nailing ◽  
Functional Outcomes ◽  
Operation Time ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Significant Difference ◽  
Special Surgery ◽  
Tibial Shaft Fractures

Abstract Background Tibial shaft fractures are routinely managed with intramedullary nailing (IMN). An increasingly accepted technique is the suprapatellar (SP) approach. The purpose of this study was to compare the clinical and functional outcomes of knee joint after tibia IMN through an suprapatellar (SP) or traditional infrapatellar (IP) approach. Methods Retrospective analysis was performed in patients with tibial shaft fractures that were treated with IMN through a SP or IP approach between 01/01/2014 and 31/12/2016. The clinical and functional outcomes of the knee were assessed with the Hospital for Special Surgery (HSS) Knee Score. Secondary outcomes included the operation time and intraoperative blood loss. Results A total of 50 patients/fractures (26 IP and 24 SP) with a minimum follow-up of 15 months were evaluated. All fractures were OTA 42. No significant differences were found between the two groups in age, gender, side of fractures, operation time, intra-operative blood loss, and follow-up time. No significant difference was seen in HSS score (P = 0.62) between them. Sub analysis of all the HSS components scores revealed no significant differences between pain (P = 0.57), the stand and walk (P = 0.54), the need for walking stick (P = 0.60) and extension lag (P = 0.60). The other HSS components showed full scores (IP 10 vs. SP 10) in both approaches, including muscle force, flexion deformity and stability components. The range of motion (ROM) component score was superior in the IP group (P = 0.04) suggesting a higher ROM. Conclusions Both SP and IP approach results in equivalent overall HSS knee scores. However, for the HSS component, the IP approach was superior to SP approach regarding the ROM.

scholarly journals Conservatively managed tibial shaft fractures in Nottingham, UK: are pain, osteoarthritis, and disability long-term complications?

1997 ◽  
Vol 51 (6) ◽  
pp. 701-704 ◽  
Author(s):  
D C Greenwood ◽  
K R Muir ◽  
M Doherty ◽  
S A Milner ◽  
M Stevens ◽  
...  
Keyword(s):  
Tibial Shaft ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Post-traumatic osteoarthrosis after tibial shaft fractures A 30-year-follow-up

1993 ◽  
Vol 3 (3) ◽  
pp. 255-256
Author(s):  
M. K. Karlsson ◽  
B. Frennby ◽  
K. J. Obrant
Keyword(s):  
Tibial Shaft ◽  
Shaft Fractures ◽  
Post Traumatic ◽  
Tibial Shaft Fractures

Trajectory of Short- and Long-Term Recovery of Tibial Shaft Fractures After Intramedullary Nail Fixation

2017 ◽  
Vol 31 (10) ◽  
pp. 559-563 ◽  
Author(s):  
Sebastian J. Ko ◽  
Peter J. OʼBrien ◽  
Pierre Guy ◽  
Henry M. Broekhuyse ◽  
Piotr A. Blachut ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Short And Long Term ◽  
Tibial Shaft Fractures
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