Many trauma implants and Spine Implants specialists generally believe that the intensity of the tibial fracture influences the healing rate as well as the frequency of nonunion. In addition, it has also been hypothesized that fractures of the distal third are more likely to face deferred union or nonunion. This study has been made from observing the healing of above-the-knee nonfunctional cast using alternative treatment options such as external or plate fixation. This is achieved by using orthopedic instruments like interlocking nails, locking plates, PFNA Nails, AFN Nailing System, Multifix Tibia Nailing etc.
There have been three observations that have been made to justify this. Firstly, it has been stated that musculature (system of arrangement of muscles around the body) around thedistal third of the tibia is less bulky than at another level. Secondly, the blood supply from theintramedullary vessels is less widespread when compared to other point of the tibia, and lastly,that the boneat this level is more cortical (Cortical means the dense outer surface of the bone that forms a defensive layer around the internal cavity) than in other segmentsof the tibia.
Our experience as orthopedic products manufacturers in India does not support a higher occurrence of delayed union or nonunion of fractures at this level. Orthopedic implant company experts indicate that the height of the fracture does not control in any way the healing rate, provided that the fractures are kept in a functional environment. The same can be said for the age of the patient. Our ortho surgical implants expert research suggests that fractures in older patients most likely heal as rapidly as in younger ones. This was based on the data obtained from patients of various ages who discontinued the use of orthopedic instruments.
Lastly, it has also been observed that the nature of fracture hardly plays a role in determining the rate of healing. This was concluded after observing the difference in healing between oblique, transverse, and comminuted fractures which was found to be minimal.
So,what does the rate of healing exactly depend on? Our orthopedic implants specialist quotes that the most important factor in determining the effective time of healing was the level of initial displacement, suggesting once again that the curing of fractures is dominated by the surrounding soft tissues and not by the bone itself.
Many orthopedic implants suppliers and scholars have long alleged that the role of the periosteum (a dense layer of vascular connective tissue around bones) in the healing of fractures in the adult has been greatly embellished. Soft tissues heal diaphyseal fractures which generally heal slower and hence the contribution of the periosteum may not be very momentous.
If the periosteum were such a great and major contributor to fracture healing, then a cautiously plated tibia where only one surface of the bone has been desecrated by the surgeon and the remaining periosteal envelope left unbroken would have healed speedily. But this has not been the case, as seen by the weak mechanical healing that these fractures experience in the nonexistence of peripheral callus.
As the top leading orthopedic implants manufacturing company in India,we believe that the nature of the injury must, therefore, be seriously well-thought-out in analyzing thebehavior of a given fracture. Since the mechanismof injury often describes the configuration of the fractureand further its initial shortening and displacement, therefore thismechanism must also be vigilantly considered.
An unswerving blow injury with a resulting reduction ofthe tibia and fibula may have major damage to the bone but has minimal soft tissue damage. The interosseous membrane and fascial compartmentsare likely to be unbroken and therefore, the displacement would be negligible.
Under these conditions,orthopedic implantsspecialist believe that such fractures seem to repair readily withcopious periosteal callus and as a rule are linked with minimum shortening.