ISSN No. 2079-8547 (Recognized by PMDC)
CLOSED REDUCTION AND CASTING IN CLOSED TIBIAL DIAPHYSEAL FRACTURE IN OUR SET UP
Abstract
To evaluate the result of closed reduction and casting in closed diaphyseal fracture and compare our results with the
published literature.
Study design: This is a descriptive observational study.
Place and duration: This study was conducted at Orthopedic B unit Lady Reading Hospital Peshawar, from April 2011
to March 2012 on 50 patients with closed tibial fractures.
Patients and method: Fifty patients with closed diaphyseal tibial fractures admitted through emergency were included
in this study. All patients were resuscitated according to ATLS protocol. All fractures were treated with close reduction
and casting under anesthesia. Follow up was done for 6 months with assessment of radiological healing and clinical
outcome that is union, joint movement, limb length discrepancy.
Inclusion and exclusion criteria: Patients below the age of 16 years, open fracture and poly trauma patients were
excluded from the study. Patients with close diaphyseal fracture were included in the study.
Results: Among 50 patients 36(72%) were male and 28(28%) female. Left involved in 28 (56.8%) patients and right
in 22 (44%) patients. we achieved union in 44 (88%) patients within 12 to 20 weeks. In our study 6 (12%) patients got
nonunion. two patients (4%) developed compartment syndrome. Knee stiffness, which did not resolved after physiotherapy,
was found in 6(12%) patients and non-union in 6(12%) patients. We achieved excellent and good results in 35
(70%) patients and poor results in 6 (12%) patients.
Conclusion: Closed reduction and POP cast application is still a safe and effective method and is a good option in
our circumstances for treating closed diaphyseal fracture of the tibia and gives excellent results regarding healing and
function.
Key words: fracture tibia, pop cast, closed reduction.