Evaluation of different surgical modalities of treatment for various types of nonunion in tibia

Non-union is a problem faced by most of orthopaedic surgeons. Tibia is the commonest site of non-union in long bone fracture. Management of non-union has remained a constant challenge. As tibia is subcutaneously located and has less blood supply in its distal part complicates the management of non-union of tibia. Present study was designed to assess the utility of various available modalities of treatment for different types of non-union of tibia.

32 patients of non-union of tibia admitted in orthopaedic ward during the period of January 2013 to December 2015were included in a prospective study. Detailed history, clinical examination conducted and diagnosis was confirmed after radiological examination. After that suitable plan of treatment was formulated and undertaken according to type of non-union.

Results were excellent to good in 59.24%, satisfactory in 37% and poor in 3.7%.

Tibia is the commonest site of non-union in long bone fracture. Open reduction and internal fixation after freshening of bone ends and autologous bone grafting is the commonest mode of treatment in non-union Tibia management.