Study of Results of Unreamed Tibia Interlocking Nail in Open Tibia Fractures
Journal Title: GCSMC Journal of Medical Sciences - Year 2016, Vol 5, Issue 2
Abstract
Objective: The purpose of the present study was to assess the outcome of compound fractures of tibia managed by UNREAMED interlocking intramedullary nailing with primary closure of open wound. Materials and Methods: This is a retrospective study of 33 patients with 34 open fractures of tibia operated primarily by UNREAMED tibia interlocking nail with debridement and primary suturing of open wounds during the period of January 2008 to May 2011 at Sheth V. S. Hospital. Results: In our study of 33 patients with 34 open tibial fractures, 25(75.76%) patients were in 20-50 years age group. Mean age was 37.3 years. 3(8.82%) patients had wound problem at final follow up and 31(91.18%) tibias had good wound healing. Of 34 tibial fractures, 29 fractures (85.29%) showed good radiological and clinical signs of bone union. 5(14.71%) patients with delayed/nonunion were noted. 38.24% fractures were open grade 1, 50% open grade 2 and 11.76% open grade 3. Infection was encountered in 3(8.82%) cases. Outcomes were assessed by Modified Ketenjian's Criteria where, out of all fractures 16(47.06%) were excellent, 10(29.41%) were good, 3 were (8.82%) fair and 5 were (14.7%) poor results. Conclusion: Open tibial fractures if given timely treatment, preferably within first 24 hours, can give gratifying results.
Authors and Affiliations
Pratik Vinchhi, Hiren Shah
Keywords
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