Volume : 6, Issue : 1, January - 2017

Evaluation of management-of soft tissue injury in tibia shaft fracture

Dr. Joti Bagul, Dr. Gautam Shah

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif">Background </span></b><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">: .Presently we live in the age of high velocity trauma.In this era of modern industrialisation, with increasing road traffic, mechanisation of agricultural methods and various recreational sports, life has become very busy and active. ¹As a consequence people are more exposed to risk factors which cause accidents. These accidents cause different types of fractures and injuries. Fractures of the leg bones are one of these. In particular, fractures of the shaft of the tibia and the fibula present one of the most challenging problems in orthopaedic surgery today. So the purpose of the study is to evaluation of&nbsp; </span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">management-of soft tissue injury </span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: &quot;Times New Roman&quot;, serif;">in tibia shaft fracture.<b>Methodology</b> : In this series we had 33 closed fractures and 67 open fractures. The open fractures were classified according to the modified Gustilo (1984) grading for open fractures</span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:150%"><b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif">Result</span></b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif"> :.</span><span style="font-size:12.0pt;mso-bidi-font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,serif">14 cases in our series were managed conservatively. Out of these 12 were in the paediatric age group (below 15 years) two cases were adults, one of which had delayed union and is discussed later. Out of the 14 cases, 8 cases (57%) were closed fractures and 6 cases (43%) were open fractures.</span><b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif">Conclusion</span></b><span style="font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,serif"> :</span><span style="font-size:12.0pt;mso-bidi-font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,serif"> Our cases had different modes of treatment, but the results were comparable except for a mild increase in the poor results, which was due to more of high energy trauma and contamination.<b><o:p></o:p></b></span></p>