Management of aseptic non union tibia using plating or interlocking nail with or without bone grafting | ||||
| Sohag Medical Journal | ||||
| Article 19, Volume 21, Issue 1, January 2017, Page 197-203 PDF (337.47 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/smj.2017.40579 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mostafa Ali Khalifa; Shazly Musa; Hassan Abdel Rahman; Anis Shiha | ||||
| Department of Orthopedics, Faculty of Medicine, Sohag University | ||||
| Abstract | ||||
| Background : 'The purpose of this study is to compare results of usage of reamed interlocking nail versus plating in management of aseptic non- union fracture shaft tibia .Methods :20 patients with aseptic non union tibia were managed in our department between June 2015 and June 2016.Patients were divided randomlyin this retrospective study into two groups : plating group ( 10 patients ) and nailing group (10 patients ). Mean age of patients ( plating group ) was 40.3 years old, while in ( nailing group) was 30.3 years old. Illac bone graft was used in 4 patients (plating group ) and 3 patients (nailing group).Initial fracture was simple in 8 cases ( 4 in plating group and 4 in nailing group )and compound in 12 cases ( 6 in plating group and 6 in nailing group).Results :All patients were followed up in our patient clinic, with a mean period of follow up was 36.9 weeks. 19 cases healed and one case lost from( plating group). Mean period of healing was 6.7 months (plating group) while 4.7 months in (nailing group).According to Olerud and Molander score ,2 patients excellent , 2 good and 5 fair (plating group) ,while 1 patients excellent , 7 good and 2 fair (nailing group).No significant complications rate difference was found between the two groups . Conclusion:Reamed interlocking nail can obtain higher union rate , shorter time to union incidence and less complications rate than plating in the treatment of aseptic non union fracture shaft tibia. | ||||
|
Supplementary Files
|
||||
| References | ||||
|
Boyd HB, Lipinsky SW, Willey JH. Observation on nonunion of the shafts of long bones with statistical analysis of 842 patients. J. Bone J. Surg. 1961; 43A: 159.
2- Weber, B.G.; Cech, O. Pseudarthrosis. Bern, Switzerland, Hans Huber, 1976.
3. Sledge SL, Johnson KD, Henley MB, Watson JT. Intramedullary nailing with reaming to treat nonunion oftibia. J Bone J. Surg 1989; 71A: 1004.
4.Clancey GJ, Winquist RA, Hansen ST. Nonunion of the tibia treated with Kunt,cher intramedullary nailing. Clin.Orthop 1982; 167: 191.
5. Megas P, Panagiotopoulos E, Skriviliotakis S, Lambiris E. Intramedullary nailing in the treatment of
aseptic tibialnonunion. Injury 2001; 32: 233-39.
6. OlerudC ,Molander H. A scoring system for symptom evaluation after ankle fracture . Arch Orthop Trauma Surg. 1984;103:190-194.
7 .Weresh MJ, Hakanson R, Stover M, et al. Failure ofexchange reamed intramedullary nails for ununitedfemoral shaft fractures. J Orthop Trauma, 2000, 14: 335–338.
8- CC Wu . Reaming bone grafting to treat tibial shaft aseptic nonunion after plating . J Orthop Res 2003: 11(1): 16–21.
9- WI Faisham, MMed, A R Sulaiman ; et al . Early Outcome of Reamed Interlocking Nail for NonUnion of Tibia. Med J Malaysia Res 2006 Vol 61 No 3.
10.Galal Z. Said & Mohammad M. El-Sharkawi ; et al . Fibula-pro-tibia in plating tibial non-unions . J (SICOT) (2011) 35:1713–1718 .
11. Wu CC , Shih CH , Chen WJ, Tai CL. High success rate with exchanging to treat a tibial shaft aseptic non union .J Orthop Trauma 1999;13:33-8.
12.Devnani AS et; al. Simple approach to the management of aseptic non union of shaft of long bones. Singapore Med J 2001: 42 (1) :20-25.
| ||||
|
Statistics Article View: 138 PDF Download: 169 |
||||
