Closed Intra - Medullary Interlocking Nail Improves Surgical And Functional Outcome Of Diaphyseal Fracture Of Tibia – Our Experience
Journal Title: International Journal of Scientific Research and Management - Year 2015, Vol 3, Issue 4
Abstract
BACKGROUND: The managmenet of tibial fracture in adult is a challenge to orthopedic surgeons due to poor soft tissue coverage and blood supply. Although there are several treatment methods for tibial shaft fractures, no single method is appropriate for all types of tibial shaft fractures . Plate fixation and intramedullary nailing were two well - accepted and effective methods in the management of fracture tibia. In this study we have evaluated th e surgical and functional outcome of intramedullary nailing for the treatment of closed diaphyseal fractures of the distal tibia. METHODS: This prospective study was done in 30 patients who had diaphyseal fractures of tibia were treated with closed interl ocking nailing during the period of October 2010 to 2012 at a tertiary care hospital, Nellore over a period of 24 mon ths. RESULTS: out of 30 patients 27 patients had united within 5 months of injury and 2 cases developed delayed union which united in 7 mon ths and 1 case went into non - union. Whereas all the patients o perated in this technique in which 21(70%) patients were with excellent, 6(20%) patients with good, 2 (7%) patients with better and one (3%) patient with poor functional outcome was evident. CON CLUSION: Closed interlo cking intramedullary nailing showed a safe and quite effective for treatment of tibial diaphyseal fracture which allowed earlier return to work.
Authors and Affiliations
Dr. P. Krishna Reddy
Keywords
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