my God. On a good note there was no blood as far as I could tell (meaning no profuse loss aka an artery cut), so he'll likely have a full recovery in terms of living a normal life. Not so sure on hoops again though.
Oh wowUp close and high quality image. Good amount of bone sticking out. Don't click if you're easily squeamish.
http://i.imgur.com/9q3Ow8G.jpg]http://i.imgur.com/9q3Ow8G.jpg
Yeah, I'd be worried about nonunion as well. The blood flow to the tibia isn't the greatest and nonunions are actually not uncommon. Then again they can generally be resolved with rhBMP1 and a cancellous graft from the contralateral iliac crest.You dont know what will happen. Anyone that tells you is lying. Everyone heals differently. I just read an xray today on a kid with a similar fracture in 2006...he had surgery and the leg just never healed properly...there is no longer a frature..there is no discontinuity..but there is a bowing deformity that he has to live with. There is also the possibility of infection either immediately post op or hardware related. There is the chance of deep vein thrombosis due to prolonged immobility. There is the chance of non union...nobody knows...odds are he will do well based on age and the level of care he will be able to receive...but this is a BAD BAD BAD injury
Yeah, I'd be worried about nonunion as well. The blood flow to the tibia isn't the greatest and nonunions are actually not uncommon. Then again they can generally be resolved with rhBMP1 and a cancellous graft from the contralateral iliac crest.
On the other end of the spectrum, a pregnant woman (also rather overweight and unhealthy prior to pregnancy) had a nasty tibial fracture and the damn thing healed completely in 4 weeks with minimal intervention other than an IM rod. Ridiculous how the pregnancy hormones, increased bloodflow, etc. change the equation.