Title: Open reduction and internal fixation of intramedullary interlocking nail of tibia with fibula plating in lower 1/3rd tibia fibula fracture
Authors: Dr Raghavendra Chidrawar, Dr Venkat Lakavath
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.179
Abstract
Thirty cases of fractures of distal 1/3rd tibia fibula operated. Out of them, 25 cases were treated with distal tibia interlock nailing & fibula plating & rest 5 cases were treated with only distal tibia interlock nailing. Thirty tibial fractures closed (24) & compound (6) were treated with an average follow up of lyr 2 months. Average operation time was 2 to 2 1/2 hour. Using DCP / recon / 1/3rd tubular plate was done. Static locking was done for all cases. Closed reduction was done in all closed and puncture compound fractures. Open reduction was done in 1 case. All these cases were operated within 7-10 days post trauma. Most of the fractures were caused by road traffic accident. Male to female ratio was 9:1 Postoperatively, full weight bearing for non-communited fractures was started at 9 wks and for communited fractures at 14 wks. Average time of union was 18 wks for non-communited fractures and 24 wks for segmental, communited & compound fractures. Dynamisation was done in 4 cases. It was done at the end of 10-12 weeks when the fracture showed some amount of callus or was axially stable Malunion occurred in the form of vulgus malalignment in 5 cases. Delayed union occurred in 1 case of compound fracture for which bone grafting was done. it can be said that closed tibia interlock nailing and open fibula plating is definitely one of the best treatment modality available to orthopaedic for fracture distal 1/3rd tibia fibula as it effectively maintains the length, alignment and rotational stability and allows rehabilitation concurrent with fracture healing. It brings the patient to the preinjury state quickly and safely.
Keywords: Tibia, Fibula, Interlocking nail, fracture, internal fixation.
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