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Indian Journal of Orthopaedics Surgery


Evaluation of different surgical modalities of treatment for various types of nonunion in tibia


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Author Details: Lamture D.R., Burande B.G., Dhaniwala N.S.

Volume : 3

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 124

Article End Page : 127


Abstract

Introduction: Non-union is a problem faced by most of orthopaedic surgeons. Tibia is the commonest site of non-union in long bone fracture. Management of non-union has remained a constant challenge .As tibia is subcutaneously located and has less blood supply in its distal part complicates the management of non-union of tibia. Present study was designed to assess the utility of various available modalities of treatment for different types of non-union of tibia.
Material & Methods: 32 patients of non-union of tibia admitted in orthopaedic ward during the period of January 2013 to December 2015were included in a prospective study. Detailed history, clinical examination conducted and diagnosis was confirmed after radiological examination. After that suitable plan of treatment was formulated and undertaken according to type of non-union.
Results: Results were excellent to good in 59.24%, satisfactory in 37% and poor in 3.7%.
Conclusion: Tibia is the commonest site of non-union in long bone fracture. Open reduction and internal fixation after freshening of bone ends and autologous bone grafting is the commonest mode of treatment in non-union Tibia management.

Keywords:
Non-union, Tibia, Bone graft