Operative Outcome of Interlocking Intramedullary Nailing With Reaming for the Treatment of Open Tibial Shaft fractures: A Clinical Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Context: Compound fractures of tibia pose a significant challenge to orthopaedic surgeons due to its precarious blood supply, subcutaneous location and poor soft tissue coverage, leading to various complications. This study evaluates the operative outcomes of interlocking intramedullary nailing with reaming for open tibial shaft fractures. Aims: To study the clinical, radiological and functional outcomes, and complications associated with the procedure. Materials and methods: Interlocking Intramedullary Nailing of 30 cases of open tibialdiaphyseal fractures and evaluation of the results. Statistical Analysis Used:Patients evaluated clinically and radiologically, at regular intervals. Results: Out of 30 patients, according to the Lysholm Knee Scoring system, 20 cases had excellent, 8 had good, and 2 had fair outcomes. Radiological union was achieved in 17-20 weeks. Complication rate was 16.67%. Conclusions: Reamed intramedullary nailing for treatment of open tibial shaft fractures is an excellent option, producing biomechanical stability and facilitating rapid rehabilitation in compound diaphysealtibial fractures.
Authors and Affiliations
Dr. SubhranshuSekhar Nayak, Dr. Samares Naiya, Dr Sudipta Dasgupta, Dr. Abhijit Ghosh, Dr. Debdutta Chatterjee, Dr. Abhilash Sarkar
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