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Partial resection of fibula in treatment of ununited tibial shaft fractures

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Author(s): Butt Mohd Farooq | Mir B | Halwai M | Farooq Munir | Dhar S

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 40;
Issue: 4;
Start page: 247;
Date: 2006;
Original page

Keywords: Fibulectomy | non-union | closed fractures.

ABSTRACT
Background : In management of fracture of both tibia and fibula, intact fibula may delay union of tibial fractures. Method : Twenty five cases of ununited fractures of tibia were managed between 1997 and 2004, by partial fibulectomy done after 20 weeks after fracture and a POP cast given for 4 weeks which was changed to a PTB cast and weight bearing encouraged at the earliest. Result : All fractures united at an average time of 14 weeks (range 6 to 20 weeks) after partial fibulectomy with acceptable alignment in coronal and sagittal planes. There was no neurovascular complication, limitation of joint motion or problem at the osteotomy site. Conclusion : Partial fibulectomy is a viable option in the management of tibial delayed and non-union.
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