Research Paper: Management of Tibial Shaft fractures
Treatment of tibial shaft fractures is aimed at the achievement of the rapid union of the two ends, which are aligned properly in both the axial and rotational plain while ensuring the maintenance of the initial pre-fracture limb length (Fortis, Dimas and Lamprakis 941). Over the years, several methods have been devised for the management of tibial shaft fractures. These range from the conservative, strictly non-operative techniques to a multitude of operative techniques (Larsen, Madsen and Høiness 144). Non-operative techniques were more commonly used in the past and include closed reduction and immobilization (Bone and Johnson 876). The most common operative methods which have been used in the past several years include the use of plates and screws for fixation, external fixation and intramedullary nailing (Fortis, Dimas and Lamprakis 941).
Moreover, the management of open tibial fractures is comprised of not only the stabilization of the tibia using various methods, but also includes aggressive management of the injury sustained to the surrounding soft tissues. The steps involved in attaining this purpose include wound exploration, including extensive irrigation and repeated debridement of tissues where required, the use of antibiotics to prevent the occurrence of infection and covering the wound in the early stages (Kakar and Tornetta 153). This initial management can help in the reduction of infection rates by as much as 50% (Edwards, Simmons, Browner et. al. 98).