Surgical management of diaphyseal fractures of tibia with intramedullary interlocking nailing in adult patients
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Background and Objectives: Fracture shaft of tibia are increasing due to high velocity trauma and industrialization. Not only are they common but often difficult to treat. Previously surgeons had to rely on non operative methods, ‘V’ nailing, ‘plates and Screws’ and external fixators but they had their known drawbacks like prolonged immobilization, infection, delayed union, nonunion, malunion and cumbersome for patients, with the introduction of intramedullary interlocking nail for tibial shaft fractures has overcome some of these complications and encourages the patients for early mobilization. This study has been done to evaluate the functional results and complications of intramedullary interlocking nail for tibial diaphyseal fractures of closed type. Methods: Fifty adult patients with fresh tibial shaft fractures were treated surgically with intramedullary interlocking nail between December 2014 to march 2016. Results: Among fifty patients treated with intramedullary interlocking nail, fractures united with a union rate of 94%. Two fractures showed delayed union, one fractures had non union and one fracture had malunion. One case had distal locking screws breakage. Two cases of superficial infection were noted. Seven patients had anterior knee pain, one case developed shortening of leg which was less than 1cm. Functional results were graded according to the criteria by Klemm and Borner. 92% of patients achieved good or excellent results, fair results were obtained in one patient and in one patient the functional results were poor. Conclusion: This study with fresh fractures of the tibia (closed type, transverse and short oblique) treated with intramedullary interlocking nailing is a safe and effective technique for management of closed tibial diaphyseal fractures with high union rates, low incidence of complication. Good functional results are achieved by careful preoperative planning and respecting the principles of intramedullary interlocking nailing technique.
Authors and Affiliations
Dr. Mohammed Abdul Bari, Dr. Sanjeev Chincholi
Keywords
Related Articles
- EP ID EP487650
- DOI 10.22271/ortho.2018.v4.i3h.73
- Views 112
- Downloads 0
Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study
Introduction: The following study was conducted to identify the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fracture treated with LCP using MIPPO. Mate...
Cemented modular bipolar hemiarthroplasty of hip in treatment of unstable intertrochanteric fractures in elderly patients
Aim: The aim of this study is to find out this treatment option can lead to the best clinical and functional outcomes. Patients and Methods: Twenty patients admitted to Hospital between Jan 2013 and Dec 2015 with a diagn...
Functional outcome of cemented versus uncemented modular bipolar hemiarthroplasty in proximal femoral neck fractures
The study was carried out to compare the intraoperative events, complications, recovery to physical independence & functional outcome based on Harris hip score encountered in each of the cemented & uncemented hemiarthrop...
Treatment of fracture of shaft of humerus in adults by intramedullary interlocking nail fixation- A series of 30 cases
Backgroud: The optimal method of humeral shaft fracture fixation remains in debate. With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that IM-ILN might be mo...
Comparative study between dynamic hip screw & proximal femoral nail in treatment of intertrochanteric fracture
Intertrochanteric fractures are those occurring in the region extending from the extra capsular basilar neck region to the region along the lesser trochanter. Due to an increasing life span and sedentary lifestyle the in...