Sajjad Iqbal, Hafiz Salman Saeed, Bushra Aslam, Iqra Fayyaz.
Tibial Diaphyseal Fractures; Evaluation Of Management Treated By Pop Castversus Intramedullary Nailing In Terms Of Time Of Union.
Professional Med J Jan ;24(9):1336-41.

Objectives: To evaluate the management of tibial diaphyseal fractures treated by POP cast versus intramedullary nailing in terms of time of union. Design of study: Randomized controlled trials. Setting: Department of Orthopaedic, Allied / DHQ Hospital, Faisalabad. Duration of Study: Six months (01-08-2013 to 31-01-2014). Materials and Methods: 80 patients fulfilling the inclusion and exclusion criteria were included in the study. After laboratory and radiological assessment, the patients in Group 1 were treated by long leg cast. The patients in Group 2 were treated with intramedullary interlocking nail. The patients were followed on OPD basis. Results: 80 patients divided into 2 groups. Each group had 40 patients. Mean age of patients was 30.99 ±8.092 years. There were total of 65% males and 35% females in this study. According to geometry of fractures simple transverse fractures were 47.5%, spiral fractures were 17.5%, oblique fractures were 25% and segmental fractures were 10%. There were 71.25% closed fracture and 28.75% type l open fractures. Mean time of union was 23.86 ± 5.48 weeks in group 1 while in group 2, mean time of union was 18.35 ± 4.12 weeks. P-value was 0.001 which is statistically significant. Conclusion: It is concluded that reamed intramedullary interlocking nailing is a good mode of internal fixation comparing with conservative management of close reduction and POP cast in both close and type I open fractures in terms of union.

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