Management of aseptic non union tibia using plating or interlocking nail with or without bone grafting

Meshneb M ,  Saleh A , Noaman H , Sheha A .

Orthopedics department ,  Sohag  university ,  Sohag , Egypt


Background : 'The purpose of this study is to compare results of usage of reamed interlocking nail versus plating in management of aseptic non- union  fracture shaft tibia .Methods :20 patients with aseptic non union tibia were managed  in our department between June 2015 and June 2016. Patients were divided randomly in this retrospective study into two groups : plating group ( 10 patients ) and nailing group (10 patients ). Mean age of patients ( plating group ) was 40.3 years old, while in ( nailing group) was 30.3 years old. Illac bone graft was used in 4 patients (plating group ) and 3 patients (nailing group).Initial fracture was simple in 8 cases ( 4  in plating group and  4 in nailing group )and compound in 12 cases ( 6 in plating group and 6 in  nailing group).Results :All patients were followed up in our patient clinic,  with a mean period of follow up was 36.9 weeks. 19 cases healed and one case lost from ( plating group). Mean period  of healing was 6.7 months (plating group) while 4.7 months in (nailing group).According to Olerud and Molander score ,2 patients excellent , 2 good and 5 fair (plating group) ,while 1 patients excellent , 7 good and 2 fair (nailing group).No significant complications  rate difference was found  between the two groups . Conclusion: Reamed interlocking nail can obtain higher union rate , shorter time to union incidence and less complications rate than plating in the treatment of aseptic non union fracture shaft tibia.