A Study of the Management of Open Fractures of Tibia by Unreamed Interlocking Nail

Abstract

To evaluate the results of closed interlocking intramedullary nailing without reaming in the treatment of open fractures of the tibial shaft and study the difficulties (complications) encountered during the operative study. To compare the efficacy of interlocking intramedullary nailing without reaming in treating open fractures of tibia, Time required for the union of fracture, Range of motion of ankle and knee joint, Rate of malunion and mal rotation and Pain at the knee joint. RESULTS: The average age of patient is 32 years,83.33% are males, road traffic accidents account for majority(79.16%),right side involved in 58.33%,gustillo type II and type I compound fractures are common, full range of movements is seen in 66.67% by 12 weeks and union occurred in 95.83% by 9 months. Thirteen (54.17%) patients had excellent results, six (25%) patients had good results, four (16.67%) patients had fair results and one (4.16) patient had poor result. CONCLUSION: Unreamed interlocking intramedullary nailing with the help of image intensifier seems feasible in open diaphyseal fractures of tibia with the advantages of minimal blood loss, low risk of infection, early mobilisation, earlier soft tissue coverage, Promotes early union,minimal hospital stay and early returns to activities.

Functional outcome and complications in closed and grade I open tibia shaft fracture operated with intramedullary interlocking nail

“…4,5 Open reduction and internal fixation with plates and screws has yielded unacceptably high rates of infection. 6 This method may be selected with more severe or local injuries associated displaced intra articular fractures of knee and ankle.…”