Efficacy And Safety Of Interlocked Intramedullary Nailing For Open Fracture Shaft Of Tibia.

Abstract

BACKGROUND:

Due to increasing population and changing human habits the number of accidents and high energy trauma is rising. Management of open fracture tibia is a complex problem and is a challenge for both orthopaedic and plastic surgeons. The study was carried out to ascertain the efficacy and safety of interlocked intra-medullary nailing for open shaft tibial fractures in patients presenting at or after 24hr of injury.

METHODS:

In this descriptive case series, over a period of 6 moths, 163 consecutive cases of open fracture of tibial shaft were reviewed in terms of clinical profile, time of presentation, and gender distribution.

RESULTS:

In this study mean age was 30±0.02 years. Males comprised 85% of study population while 15% were females. Gustilo-I type fracture and Gustilo-II type fracture was diagnosed in 90% and 10% patients respectively. Thirty three percent patients had wound infection while fracture union was found in 15% cases. Moreover interlocked intramedullary nailing for open fracture shaft of tibia was safe in 80% patients while this procedure was effective in 85%.

CONCLUSIONS:

Un-reamed, interlocked intra-medullary nailing may be considered as a suitable option for treatment of open fractures of tibia.

• Authors: Naveed Ahmad, Muhammad Shoaib Khan, Sikandar Aziz Afridi, Sikandar Aziz Afridi, Abdus Saboor Awan, Shamshad Khan Afridi, Shahid Sultan, Khalid Saifullah, Fahad Saqib Lodhi
• Journal: Journal of Ayub Medical College, Abbottabad : JAMC (J Ayub Med Coll Abbottabad) 2016 Apr-Jun Vol. 28 Issue 2 Pg. 341-344 ISSN: 1025-9589 [Print] Pakistan
• PMID: 28718566 (Publication Type: Journal Article)

Topics

• Adult
• Bone Nails (adverse effects, statistics & numerical data)
• Cohort Studies
• Female
• Fracture Fixation, Intramedullary (adverse effects, instrumentation, methods, statistics & numerical data)
• Fractures, Open (epidemiology, surgery)
• Humans
• Male
• Tibial Fractures (epidemiology, surgery)