Evaluation of mobilization in operated case of fracture tibia


  • Ravi Kant Jain Department of Orthopedics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Ajay Varun Department of Orthopedics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Pranav Mahajan Department of Orthopedics, SAMC and PGI, Indore, Madhya Pradesh, India
  • Mandar Deshpande Department of Orthopedics, SAMC and PGI, Indore, Madhya Pradesh, India




Tibial fractures, VAS scoring, Mobilization


Background: In spite of all the advances optimal method of treatment, fractures of the tibia still pose a challenge to the orthopaedic surgeons and thus the management of the fractured tibia requires the widest experience, the greatest wisdom, and the nicest of the clinical judgement in order to choose the most appropriate treatment for particular pattern of injury. Therefore, in this study we evaluated the role of mobilization efficacy and results of nailing and plating compression in management of tibial fractures and its VAS scoring.

Methods: This is a prospective study of fractures tibia in 150 cases aged from 18-60 years, out of which 109 (72.6%) were males. The left side was involved in 85(56.6%) patients and RTA was the major cause of the tibial fractures 98 (65.3%). Among the patients full weight bearing time was early (<3 weeks) with 90 (60%) and 60 (40%) patients within delay (>3 weeks) of surgery.

Results: VAS score was significant better in early (<3 weeks) mobilization and in nailing treatment of tibial fractures in first month (7.8±074 and 7.6±0.81) and (2.1±0.8 and 1.8±0.65) at the final follow-up. Vas score correlation was significant with process and mobilization.

Conclusions: We here conclude from our study that interlocking nailing appears to be promising method of treatment of unstable tibia fractures in adults without any external splintage after adequate stabilization and early weight bearing leading to excellent functional results in most of cases.

Author Biography

Ajay Varun, Department of Orthopedics, SAMC and PGI, Indore, Madhya Pradesh, India

Department Of Orthopaedics


Borges JLP, Silva VC, Saggin JI. Haste intramedularbloqueada da tíbia. Rev Bras Ortop. 1997;32:46-50.

Ferreira JCA. Fraturas da diáfise dos ossos da perna. Rev Bras Ortop. 2000;35:375-83.

Gupta R, Motten T, Kalsotra N, Singh M, Mahajan N, Kiran U. Clinical Study For Evaluation Of Results Of Closed Interlocking Nailing Of Fractures Of The Shaft Of The Tibia. Int J Orthop Surg. 2010;17(2):1-6.

Merchant TC, Dietz FR. Long-term follow-up after fractures of tibial and fibular shafts. J Bone Joint Surg Am. 1989;71:599-606.

Puno RM, Teynor JT, Nagano J, Gustilo RB. Critical analysis of results of treatment of 201 tibial shaft fractures. Clin Orthop Relat Res. 1986;(212):113-21.

Paccola CJ. Fraturas da diafise da tíbia. In: Reis FB. Fraturas. São Paulo: Ed. AutoresAssociados; 2000: 275-284.

Malta MC, Barreto JM. Fratura dos ossos da perna no adulto. In: Hebert S, Xavier R, Barros Filho TEP et al. Ortopedia e traumatologia: princípios e prática. 3a. ed. Porto Alegre: Artmed; 2003: 1376-1387.

Koval KJ, Meek R, Schemitsch E, Liporace F, Strauss E, Zuckerman JD. An AOA critical issue. Geriatric trauma: young ideas. J Bone Joint Surg Am. 2003;85:1380-8.

Kim WY, Han CH, Park JI, Kim JY. Failure of intertrochanteric fracture fixation with a dynamic hip screw in relation to pre-operative fracture stability and osteoporosis. Int Orthop. 2001;25:360-2

Dendrinos GK, Kontos S, Katsenis D, Dalas K. Treatment of high-energy tibial plateau fracture by the llizarov circular external tibial plateau fixator. JBJS. 1996;78:710-7.

Barei DP, Nork SE, Mills WJ, Coles CP, Henley MB, Benirschke SK. Functional Outcomes of Severe Bicondylar Tibial Plateau Fractures Treated with Dual Incisions and Medial and Lateral Plates. JBJS. 2006;88:1713-21.

Patil DG, Ghosh S, Chaudhuri A, Datta S, De C, Sanyal P. Comparative study of fixation of proximal tibial fractures by nonlocking buttress versus locking compression plate. Saudi J Sports Med. 2015;15:142-7.

Rambold C. Depressed fractures of the tibial plateau. JBJS. 1960;42:783-97.

Dennis Jensen. Tibial plateau fractures. JBJS (Br). 1990;72:49-52.

Chaix. Fractures of the tibial plateau, Insall JN, Winsdor RE, Scottw. Surgery of the knee, 2nd Ed, New York, Churchill Livingstone, 1993: 1038.

Lee JA, Papadakis SA, Moon C, Zalavras CG. Tibial plateau fractures treated with the less invasive stabilisation system. Int Orthop. 2007;31:415-8.

Feng W, Fu L, Liu J, Qi X, Li D, Yang C. Biomechanical evaluation of various fixation methods for proximal extra-articular tibial fractures. J Surg Res. 2012;178:722-7.

Kim JW, Oh CW, Jung WJ, Kim JS. Minimally invasive plate osteosynthesis for open fractures of the proximal tibia. Clin Orthop Surg. 2012;4:313-20.

Ahmed M, Jindal S, Bansal V, Kapila R, Garg RS. Evaluation of outcome of management of distal tibia fracture using distal tibia locking plate. J Foot Ankle Surg (Asia-Pacific). 2017;4(1):5-9.






Original Research Articles