Management of segmental tibial shaft fractures

ABSTRACT

14 cases of segmental tibial shaft fractures were analysed as regards the results of conservative and surgical treatment. Only one was a female. Their age was 21-69 years, average 45 years. The conservative method showed early failed reduction in 21% of cases [group A] and late non union in another 21% [group B]. A and B groups [6 cases] were treated with plate and screws fixation with or without bone graft. Results of conservative treatment were 37.8% very good. 62.5% good. Those of internal fixation were 33.3% very good, 50% good and poor in 16.7%. There was no infection with conservative treatment, but there was a high rate of nonunion. In internal fixation there was a high rate of infection with low incidence of nonunion. The final end results were very good in 5 cases [35.7%-], good in 8 [57.2%], and poor in one case [7.1%]