The Influence Of Traumatic Brain Injury (TBI) On Callus Formation And Fracture Healing In Patients With Tibial Fracture And Head Injury

1.Objective:To study whether the presence of traumatic brain injury promote the fracture healing and excess callus formation in tibia fracture patients with traumatic brain injury (TBI).2. Methods:Totally40tibia fractures patients in our department, shantou university medical college STUMC1st affiliated hospital,20with traumatic brain injury (TBI) and20just tibia fractures only, with complete clinical data were retrospectively analyzed, who were treated in our department from January2004to December2009. The two groups both were undertaken using steel screws fixation technique and given more than one year of follow-up respectively. Statistical analysis was undertaken using SPSS computer software, t test was used in comparing between the two treated groups in terms of the fractures union time, the callus formation.3. Result:In patients with head injury, the measured mean callus to normal tibia ratio was significantly higher than the control group (P<0.001). Whereas the differences in the mean time to fracture union between two groups had of no statistical significance (P>0.05).4. Conclusions:Traumatic brain injury (TBI) can promote tibia fractures callus formation, but no apparent simulative effect on tibia fracture healing.