The incidence of fractures in the tibial shaft that do not heal properly despite the use of locking plates. A case series study.

Syed Hamad Ali Shah Banori, Mushtaq Hussain , Asghar Khan , Shakir Ullah , Sajjad Ahmad And Salik Kashif

Abstract

INTRODUCTION:
Fractures of the tibia are often the consequence of accidents and falls. Treatment for an open fracture Tibia is a challenging issue
for both orthopaedic and plastic surgeons. There are several treatment options available for tibia fractures, including conservative
and surgical procedures. Locking plates are a successful therapeutic approach, however they have problems including nonunion..
OBJECTIVE:
The purpose of this study is to determine the frequency of nonunion in tibial shaft locking plates..
MATERIALS AND METHODS:
All patients hospitalized to our department with tibial shaft fractures who consented to participate were included in this research.
Context for Conducting a Case Study The study was conducted at Department of Orthopedic DHQ Hospital Batkhala Pakistan .
The Period of Study Sixty month (16 Aug, 2020 - 15 Feb, 2021) It was determined that the fracture needed to be stabilised, and a
locking compression plate was used. Patients were contacted on a frequent basis utilising their contact information in order to
lessen the risk of them not following up. The 24th week visit for non-union was conducted using X-rays of the tibia shaft Antero-
posterior and lateral views as the final evaluation for the research. The patient was instructed to notify the hospital immediately if
any complications emerged from the surgery. when returning to the surgical location for follow-up appointments All surgical
operations were subjected to periodic radiological and clinical evaluation.
RESULTS:
The study included 156 patients in total. In 15 patients, there was a nonunion (9.6 percent ). There was no statistically significant
relationship between nonunion and gender, patient age, or fracture type.
CONLCUSION:
The nonunion rate in our study was 9.6 percent. According to our clinical findings, the single lateral approach technique for TSF
with locking plate takes less time to perform, requires less hospitalisation time, and has a lower risk of nonunion.
KEYWORDS: Tibial fracture, Locking, Compression Plate, Minimally Invasive Plate