DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20160015

Osteomedullography: a simple tool for early detection of impending non union of diaphyseal fracture of tibia

Arun Vashisht, Arunim Swarup

Abstract


Background: Fractures of the tibial shaft are one of the most common bony injuries to occur and are frequently associated with slow union and non-union. These fractures are commonly treated by closed reduction and internal fixation with intramedullary interlocking nail under image intensifier control. We present the results of a simple diagnostic tool the “Osteomedullography” for early detection of impending non union in diaphyseal fractures of tibia.

Methods: 35 patients of diaphyseal fracture shaft tibia in which there was no clinico radiological evidence of union at 10 to 12 weeks were subjected to the diagnostic test Osteomedullography to detect the cases of impending non union at an early date.

Results: The results were assessed according to the Osteomedullography signs described by Kaski (1971). Out of 35 OMG 26 (74.2%) were positive & 9 (25.8%) were found to be negative.

Conclusions: OMG is a reliable, minimally invasive and economical diagnostic tool for studying the healing process of diaphyseal fractures.


Keywords


OMG (osteomedullography), Diaphyseal fracture, Impending non union

Full Text:

PDF

References


Wilson JN. Pathological fractures. In: Watson-Jones Fractures and Joint Injuries, 6th ed. Edinburg: Churchill Livingstone. 1998:1073-93.

Rudloff MI. Fractures of lower extremity. In: Canale S.T, Beaty J.H. Campbell’s Operative Orthopaedics.12thed.Philadelphia: Elsevier Mosby. 2013:2650.

Tanna DD. Dynamization In: Interlocking Nailing. 1st ed. India: Jaypee Brothers. 2000:66.

Steinbach HL, Jergesen F, Gilfillan RS, Petrakis NL. Osseous phlebography. Surg. Gynaecol Obstet. 195;104(2):215-26.

Kaski P. Intraosseous phlebography with compression of soft tissue veins. In: Osteomedullography of the tibia. Acta. Radiologica. Supplimentum. 1971;312:66.

Rhinelander FW, Baragry RA. Microangiography in bone healing. In: Undisplaced closed fractures. J. Bone Joint Surg. 1962;44-A:1273-98.

Rhinelander FW. Microangiography in bone healing. In: Displaced closed fractures. J. Bone Joint Surg. 1968;50-A:784-800.

Puranen J, Kaski P. The clinical significance of osteomedullography in fracture of the tibial shaft. J. Bone Joint Surg. 1974;56-A:759-76.

Gupta RC, Mishra US, Agarwal GR, Rao SVR. The role of osteomedullography in the management of delayed union and non union of Diaphyseal fractures of long bones. A Preliminary report. Injury. 1978;9:236-44.

Gupta RC. The role of osteomedullography in delayed union and non union of Diaphyseal fractures of long bones. In: Conventry M.B eds. Year book of orthopaedics and traumatology, Chicago Year Book Publishers. 1979.

Gupta RC, Kumar S, Gupta KK. A clinical evalution of osteomedullogaphy in Diaphyseal fractures J Trauma.1980;20(6):507-12.

Gupta RC, Gupta SC, Gupta KK. Experimental study on osseous phlebography and fracture healing. Ind J Med Res. 1980;72:293-9.