Author(s): Dr. Channabasava Patil and Dr. Srinivas Pandurangiah

Abstract: The pattern of fibular fracture associated with a tibial fracture indicates the degree of blunt trauma to the soft tissues and the energy imparted to the fracture. Severe commination of the fibula or diastasis between the fibula and tibia, representing a disruption of the interosseous membrane, indicates an unstable fracture with relative revascularization of the fracture fragment and the surrounding soft tissue envelope, along with a tendency for a higher rate of delayed union, nonunion and mansion. All patients treated at Hospital for open fractures of the tibial shaft with Primary Interlocking Nail were evaluated for inclusion in the present study. Approval from the Hospital Ethics Committee was obtained before the study was begun, and the patients gave informed consent. 5 patients were struck by motor vehicle as a pedestrian, 12 were involved in a motor vehicle accident as either the driver or passenger, 10 were in a motorcycle accident, 5 were in jeep. 9 had sustained the fracture as the result of domestic injury by fall etc, 3 had industrial accident. Among the fractures treated 4 involved the proximal third of the tibia, 4 at the junction of the proximal and middle third, 20 at the middle third, 6 at the junction of the middle third and distal third, 3 at the lower third, six segmental fractures in middle and lower third and one segmental fracture in upper and lower third.

DOI: https://doi.org/10.33545/orthor.2019.v3.i3b.163