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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ44551

Retrospective study of 50 patients for comparing the efficacy of Conservative versus surgical management for tibial shaft fractures

1Dr Kapil Bansal, 2Dr Gurjeet Singh Virdi, 3Dr Rohit Kumar, 4Dr Subeg Singh, 5Dr Radhe Shyam Garg

Abstract

Background: To compare surgical fixation and closed reduction and casting (CRC) of these fractures to assess treatment outcomes and determine predictors of failure. Methods: We retrospectively reviewed all patients aged 20 to 50 who presented with a displaced tibial shaft fracture that required reduction over 2-year period. Fractures were initially treated based on surgeon preference either with CRC or with immediate intramedullary nailing. Fifty patients met inclusion criteria: 20 were initially managed with CRC and 30 with operative fixation. Radiographic healing was defined as bridging of 3 cortices and adequacy of final alignment was defined as <5 degrees of angular deformity in both planes and <1.0 cm of shortening. Results: Significant proportion patients who underwent CRC failed closed treatment and ultimately underwent surgery. Multivariate analysis of patient and fracture characteristics revealed fracture displacement of >20% and the presence of a fibula fracture as predictors of closed treatment failure. Conclusions: Treatment outcomes between initial operative fixation and closed reduction of displaced tibia fractures in age group between 20 to 50 are similar.

Keywords

Tibial shaft, Fracture

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