Enhancing Tibial and Fibular Fracture Healing: A Case Report on the Value of Dynamization

Abstract

Background: Tibial and fibular fractures, commonly resulting from high-energy traumas such as road traffic accidents, present difficulties in their management due to displacement, instability, and the requirement for surgical intervention. Case presentation: We present a 27-year-old male patient with a tibial and fibular fracture managed with intramedullary nail fixation and subsequent dynamization. The aim is to highlight the clinical significance of dynamization in addressing delayed healing and non-union in fractures. Clinical assessment and radiographic evaluation were performed to diagnose the tibial and fibular fractures. The patient underwent intramedullary nail fixation followed by dynamization. The utilization of intramedullary nail fixation demonstrated consistent outcomes with established literature. However, delayed healing and non-union were observed. The introduction of dynamization after failed healing attempts led to significant improvements in callus formation and fracture healing. Conclusions: This case emphasizes the value of dynamization as a strategy to enhance fracture healing, particularly in cases of delayed union or non-union. Dynamization represents a promising adjunctive approach in orthopedic fracture management.