REAMED INTRAMEDULLARY INTERLOCKING NAILS: A PREFERABLE OPTION FOR FIXING TIBIAL FRACTURES IN ADULTS
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2632-2641
AbstractBackground: The frequently fractured long bone in the human anatomy is tibia and the mode of surgical procedure relays on evaluating the mode of injury, configuration of fracture and individual health and financial status. The use of non-operative treatment of tibial fractures is associated with a high prevalence of malunion, joint rigidity and deprived functional consequence. Tibial shaft fractures are recurrently treated by intramedullary interlocking nails. The necessity of opting reamed intramedullary nail is considered the gold standard implant for tibial fractures in closed and open (Gustilos) fractures.
Materials and Methods: The study consists of 52 patients with tibia shaft fracture treated with tibia interlocking nail. Clinical outcome and functional results were evaluated by Klemm and Borner criteria.
Results: In this study, we have operated a total 52 cases with tibia interlocking nail in tibial shaft fractures. The union rate in closed fracture was started earlier at 12.50 weeks in 80.76% (42) cases and it took 15.89 weeks in 13.46% in (7) cases and 19.50 weeks in 5.76% (3) cases for union in Type I and Type II fracture respectively. The study yielded about 92.30% (48 cases) of excellent result.
Conclusion: The present study shows that closed fractures of the tibia shaft treated with interlocking intramedullary tibia nailing involves minimal surgical trauma and negligible blood loss. It provides the advantages of early ambulation, lower rates of infection and non-union. A significant advantage of interlocking nail in addition to early joint mobilisation, is early weight bearing which allows earlier return to work. Hence the study concluded that closed interlocking intramedullary nail is the treatment of choice in closed tibia shaft fracture.
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