High Energy Trauma in Relation to the Genesis of Nonunion in Tibial Shaft Fractures

Authors: Guzmán-Juárez LA*, Galindo-González GS, Torres Hernández RM and Hernández Culebro J

DOI: 10.23880/ijfsc-16000234

Volume 6, Issue 2

Abstract

Objective: To determine the relationship of high-energy trauma with nonunion of the tibial shaft fractures. Material and Methods: Observational, retrospective and cross-sectional study that included patients with a diagnosis of tibial nonunion with a history of high-energy trauma; high-energy trauma was assessed in relation to the genesis of nonunion in tibial shaft fractures; the relationship between both variables was determined. Data were analyzed using measures of central tendency and X2 test. Results: A total of 201 patients were obtained in total tibial shaft fractures from 2014 to 2018 (5 years), both of high and low energy trauma, female sex 42 patients (20.89%), male 159 patients (79.10%), with an average of 36.9 years of age; total nonunion in all patients 37 patients (18.40%), the external fixator in nonunion in 17 patients (45.94%), patients with plaque and posterior nonunion with high energy trauma in 10 patients (27.02%). Nonunion was recorded with high energy trauma at 55.22% and 44.77% low energy trauma with a statistical significance of p < 0.00058 and an X2 of 11.82 (RM = 23 and 95 % CI 21.6-25.4) Conclusions: High-energy trauma is related to the genesis of nonunion of any type in tibial shaft fractures.

Keywords: High-Energy Trauma; Nonunion; Shaft Fractures of Tibia

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