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Year : 2006  |  Volume : 40  |  Issue : 4  |  Page : 247-249

Partial resection of fibula in treatment of ununited tibial shaft fractures

Govt. Hospital for Bone & Joint Surgery, Srinagar, India

Correspondence Address:
Mohd Farooq Butt
Govt. Hospital for Bone & Joint Surgery, Srinagar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5413.34505

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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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