13/02/2024
Sharing a case where result was doubted but finally it united well.
Severely communitted fracture of tibia and segmental fibula. 2 to 3 punctured wound with swelling. Neuro vascular was intact.
Initially managed with Ex- Fix, and waited till soft tissues permitted.
It was a like bones in bag, most of the fragments were devoid of soft tissues lying freely . I took out segmental fractured fibula and inserted in medullary canal and achieved a pillar and dual plating was done. Lots of cancellous grafts from both iliac crest were put.
Finally after seven months union achieved and patient walking happily.