Incidence of delayed union and non union in traumatic fractures of Tibia in Aria hospital and legal medicine organization of khorasan in mordad 1384-1387.

Subject Areas : علوم پزشکی

Alireza Eshraty ¹ (متخصص ارتوپدی ـ پزشکی قانونی)
Sara Gohari ² (دانشجوی پزشکی دانشگاه آزاد اسلامی واحد مشهد، مشهد ، ایران)

Received: 2017-03-06 Accepted : 2017-03-06 Published : 2016-05-21

Keywords: delayed union, non union, intramedullary nailing,

Abstract :

Tibia have no muscular cover on whole length at the medial part , so it is hurt able to trauma and leg fractures are common at the motor accident. On of the surgical treatment that use today and the choice treatment of the type A, I, II, III open and close Tibial fractures is intramedullary nailing. Aims: Incidence of delayed union and non union in traumatic fractures of Tibia in Aria hospital and legal medicine organization of khorasan in mordad 1384-1387. Methods: This study is a descriptive, analysis study of 200 cases that were managed by intramedullary nailing, regularly visited in each month and get serial radiographies that are reported with orthopedic professional and diagnosed non union and delayed union. Findings: Incidence of delayed union was 44.5% and non union 11% and mal union was 5.5%. The average of union was 221.29 85.21 days and average time of weight bearing was 24.20 11.21 days and average age was 35.17 15 years with male sex preference. Vein damage was observed in 40% and laceration observed in 30% of patient. Rate of deep infection was 1% and superficial infection was 12%. Rate of multiple fractures was 45%, abdomen trauma 15.5 and head trauma was 8%. 5.5% of patient had brace casting after surgery and 40.5% was on foot. Results: In this study characterized that incidence of delayed union and non union was more than previous studies. Also in patient with laceration, the rate of non union was 2.81 times more than others (p= 0.024). When the weight bearing was postponed, the rate of delay union and non union was increased. There wasn’t significant statistical difference between age, sex, level of education, job, trauma (p=0.118), vein damage (p=1), type of fracture with delayed union and non union.  

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