Dr Saira Bajwa, Dr Usama Bin Ishtiaq, Dr Sidra Asghar
Introduction: Fractures of the tibia are very common, but the management is controversial, ranging from conservative to various surgical methods. However, standard treatment for low-energy shaft fractures of the tibia includes closed reduction and immobilization of the casting. Objectives: To analyze the effectiveness of a conservative policy in the treatment of isolated dislocated shaft fractures of the tibia. Place and Duration: In the Orthopedic Unit-II of Jinnah Hospital Lahore for one-year duration from May 2019 to may 2020. Patients and Methods: All cases diagnosed with a displaced tibial fracture were treated conservatively. All displaced tibial fractures in patients over 16 years of age were included. A conservative policy was adopted that included early bone grafting when indicated. Fractures involving the knee or ankle and non-displaced fractures in adults were excluded. Results: The healing time of comminuted fractures ranged from 19.2 to 25.3 weeks depending on the degree of communication, and displaced fractures - from 18.4 to 25.2 weeks. Even slightly compound wounds less than 1 inch long had a noticeably delayed healing time of 25.4 weeks. Only small stab wounds, the internal relationship had no effect on the time to heal, i.e. 18.5 weeks. Varus deformity below 14 degrees (12.5%) was the most common, and valgus above 14 degrees was not found. Conclusion: Generally, a conservative treatment policy is satisfactory, if early bone lacing is performed when indicated, bone union of all displaced tibial fractures is possible within a reasonable time. Keywords: conservative politics, early bone grafting, Long leg plaster cast.