Vol. 4, Issue 3 (2018)

A comparative study of functional outcomes of surgical versus conservative management of diaphyseal fractures of tibia in children

Author(s):

Dr. Rutvik A Shah, Dr. Paresh V Patil, Dr. Vijay Sinh Patil, Dr. Gaurangkumar Chanchpara, Dr. Prashant Pandey, Dr. Amit Garud

Abstract:
Introduction: Tibia Shaft Fractures in children are very common. Despite newer innovations in implants and techniques no standardize management stratergy is available.
Aims and Objectives: To compare and study time for union, weight bearing and functional outcomes with surgical versus conservative management of diaphyseal fractures of tibia.
Materials and methods: We studied 50 patients with tibia shaft fractures treated with Titanium elastic nails and closed reduction cast (CRC). Study was prospective. Radiographic union was defined as bridging of 3 cortices followed by which weight bearing was initiated. Final outcome evaluated at end of 6 months were classified as excellent, satisfactory, poor according to FLYNN criteria.
Results: Road traffic accident was common mode of trauma (74%) followed by domestic accident (26%). All patients achieved complete union at mean of 8 weeks (Range 8-12). Majority of patients had angulation less than 50. According to FLYNN criteria, 43 patients had excellent results, 7 had satisfactory results and none had poor result.
Conclusion: TENS nailing were superior in displaced fractures of tibia-fibula compared to conservative management in terms of early mobilization, union, weight bearing and residual angular deformity. Larger sample size with longer duration of follow up would give better outcomes.

DOI: 10.22271/ortho.2018.v4.i3e.42

Pages: 246-250  |  1664 Views  258 Downloads

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How to cite this article:
Dr. Rutvik A Shah, Dr. Paresh V Patil, Dr. Vijay Sinh Patil, Dr. Gaurangkumar Chanchpara, Dr. Prashant Pandey, Dr. Amit Garud. A comparative study of functional outcomes of surgical versus conservative management of diaphyseal fractures of tibia in children. Int. J. Orthop. Sci. 2018;4(3):246-250. DOI: 10.22271/ortho.2018.v4.i3e.42