Outcome of Bridge Technique with Fibular Graft in Patients with Distal Tibial Non-Union

Abstract

Background: Non-union is an inevitable consequence in many circumstances of compound distal tiabial fracture. In many recent research papers, now-a-days, it has been claimed that bridge graft with fibula is good treatment option for management of such cases of non-union in clinical situations with distal tibial fracture. Methodology: This prospective study was conducted with a toal number of 12 patients with non-infected distal tibial non-union were treated with fibular graft technique from October, 2014 toSeptember 2020 in Khulna Medical College Hospital and in private hospitals. To select sample, convenient purposive sampling was used. Results: Among the study population, 58.3% (07) patients were male. 33.3% (04) of male patients were in 30-40 years age group, whereas in female patients, majority of the patients (25%) were in 40-50 years age group. Road traffic accident was found as the commonest mode of injury in 50% (06) patients of distal tibial fracture. Gustilo-Anderson grade IIIA was the mostcommon type (58.3%). Excellent outcome was observer in 75% (09) patients. In 58.3% (07) patient, there was no chronic pain in follow-up. However, chronic pain at donor site was found in approximately 33.3% (04) patients. Only in 1 patient (8.3%) persistent chronic pain was observed donor site. Healing occurred fairly by primary intention in 83.3% (10) patients, whereas in 16.7% (02) patients, healing occurred by secondary intention. Overall in 75% (09) patients, no obvious complication was observed. Refractory complication was observed in only 1 patient (8.3%). Conclusion: Bridge graft with fibula for managing distal tibial non-union isaresilient treatment option with fewer and manageable complications.

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