Treatment Dilemmas in Tibial Fractures: a Case Report of Infected Non-union with Concurrent Hepatitis C Virus Infection

Abstract

Background: Tibial shaft fractures are common orthopaedic injuries that can lead to various complications, including non-union. Treatment of these fractures is challenging and requires a multidisciplinary approach. Case details: This case report presents a 45-year-old male with an infected non-union of the tibia and chronic hepatitis C virus (HCV) infection, following a road traffic accident. The patient underwent a series of procedures over a long duration due to the persisting infection. The presence of HCV added complexity to the treatment, as individuals with HCV may have compromised immune systems, which can impede the healing process and increase the risk of infection. The treatment approach described in this case, including exchange nailing and bone grafting, proved effective in achieving fracture union. Conclusion: Exchange nailing and bone grafting are effective methodologies in treating infected non-union of the tibia. This case highlights the importance of a multidisciplinary approach and the need for further research in this area. However, further research is needed to establish optimal treatment protocols for similar cases.