Abstract
ROLE OF FIBULAR RESECTION IN UNUNITED TIBIAL SHAFT FRACTURE
Dr. Raj Kishore Prasad*, Dr. Mayank Kumar, Dr. Rashi and Ratnika
ABSTRACT
Background: Intact fibula may delay Union in ununited fracture of tibia. Method: 15 cases of 5 months or more old ununited fracture of tibia with intact fibula were studied in the present series between 2005 to 2013. Partial fibulectomy was done and long leg POP cast was applied for four weeks. After four weeks a PTB cast was applied and weight bearing encouraged. Results: All fractures united at an average time of 14 weeks after partial fibulectomy. (Range of 6 to 20 weeks) in acceptable position. No neurovasular complication was present. Ankle stiffness was present in 3 of the cases which improved after physiotherapy. Conclusion: partial fibulectomy is a viable option in the management of delayed tibial fractures.
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