Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 81-84 | Rohit Mahesh Sane, Kedar Anil Parelkar, Sunil Hiriyanna Shetty

DOI: 10.13107/jcorth.2022.v07i02.541

Author: Rohit Mahesh Sane [1], Kedar Anil Parelkar [1], Sunil Hiriyanna Shetty [1]

[1] Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.

Address of Correspondence
Dr. Rohit Mahesh Sane,
Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.
E-mail: dr.sanerohit@gmail.com

Abstract

Background: The most feared complication of fracture management is non-union. Non-union can be of the following types, hypertrophic, oligotrophic, atrophic, and septic. In view of a non-union, exchange nailing is preferred and so routinely performed for non-unions and fractures of the tibia.

Case Presentation: Here, we present a case of an implant failure from an atraumatic event in a case of atrophic non-union of the tibia, which was treated by exchange nailing and bone grafting. A 22-year-old male, with a history of the left closed tibia fibula diaphysis fracture 1 year ago, underwent exchange nailing with bone grating after having an atrophic non-union with implant breakage.

Conclusion: Implant failure and non-union are caused due to a wide variety of factors. Appropriate implant selection for fracture type, reaming, fracture site compression, good reduction, and adequate and early mobilization are important factors for a satisfactory union and prevention of secondary surgeries.

Keywords: Atrophic non-union, exchange nailing, implant breakage, non-traumatic event, tibia

References

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How to Cite this article: Sane RM, Parelkar KA, Shetty SH. Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):81-84.

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Spontaneous Clinical and Radiological Resolution of a Large Extruded disk in the Lumbar Spine

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 85-87 | Sunit Mediratta

DOI: 10.13107/jcorth.2022.v07i02.543

Author: Sunit Mediratta [1]

[1] Department of Neurosurgery, Apollo Hospital, New Delhi, India.

Address of Correspondence
Dr. Sunit Mediratta,
Department of Neurosurgery, Apollo Hospital, Sarita VIhar, New Delhi, India.
E-mail: sunit_medi@yahoo.com

Abstract

Low back ache arising due to a herniated lumbar disk with radicular pain to the lower limbs is a commonly occurring problem evaluated by spine surgeons. Conservative treatment has usually been proposed for an acute disk prolapse in cases without significant motor or sensory deficit. Spontaneous radiological regression of an extruded herniated disk with complete symptomatic recovery has occasionally been reported. A case of conservatively treated large extruded lumbar disk is described who showed complete radiological resolution, along with regression of the clinical symptoms.

Keywords: Extruded lumbar disk, conservative treatment, clinical and radiological resolution

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How to Cite this article: Mediratta S. Spontaneous Clinical and Radiological Resolution of a Large Extruded disk in the Lumbar Spine. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):85-87.

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