Study of interlocking nail in shaft tibia fracture (original) (raw)
Related papers
2021
The objective of this prospective study showing the result of fixation of fracture shaft tibia in adults by intramedullary interlocking nail tibia. Thirty patients with fracture shaft tibia simple & compound fracture type 1 & 2 Gustilo-Anderson Classification. Surgical protocol of fixation of fracture shaft tibia in adults by intramedullary interlocking nail tibia Regarding union, alignment & functional results using Olerud functional scoring system. According to Olerud functional scoring system 17 patients had excellent overall functional results, 10 had good results, 2 had fair results only one patient had poor result on account of her old age and poor health condition. Intramedullary nailing is the best option. Solid core nails are associated with the lowest rate of infection. Intramedullary nailing is the current most popular form of surgical treatment. It has many advantages include: Indicated in cases of segmental and comminuted fractures shaft tibia, saving fracture hematoma,...
Journal of Evidence Based Medicine and Healthcare, 2015
Whether to ream the compound tibia fractures witle intramedullary interlocking nailing or not has been an eternal debate. So we have conducted a study to compare the functional outcomes, rate of infection and time needed for union in reamed and unreamed interlocking nailing on open tibia fractures. METHODOLOGY: This study was carried out as a prospective, comparative study. 100 patients with open fractures of tibial shaft admitted in our hospital between June 2011 and January 2013 were enrolled in the study. Patients outside the age group of 20-50years of age, severely ommuniated fractures and fractures classified under Gustilo Anderson type IIIb and IIIc were excluded. 100 fractures were divided into two groups (reamed nailing and unreamed nailing) n=50 in each with simple randomization technique. Evaluation in the form of radiological union was done with serial x-rays and functional grading according to Klemm & Borner's criteria for tibial shaft fractures was done at the end of 6 months. RESULTS: Average fracture healing time was 16-20 weeks in both in undreamed nailing radiologically. Also, differences in rates of clinical union, clinical outcome, time for weight bearing and complication in both groups were not significant. Post-operative infection was found in 5 cases in reamed group and 3 cases in unreamed group. CONCLUSION: There are no clear indications or contraindications or advantage/disadvantage to favour either reamed or unreamed nailing over each other. Fracture union, functional outcome and rate of complications are similar in both groups. KEYWORDS: Reamed versus unreamed intramedullary interlocking nailing; fractures of shaft of tibia.
Efficacy And Safety Of Interlocked Intramedullary Nailing For Open Fracture Shaft Of Tibia
Journal of Ayub Medical College, Abbottabad : JAMC, 2016
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 ...
2020
Introduction: Treatment of open tibia fracture is controversial. Complication like infection, re-operation, and nonunion are more common after these fractures. While grade II and III fractures are mostly treated with detriment and external fixator, grade I fractures are a matter of controversy. It is essential to evaluate factors affecting deep infections and fracture healing of closed and grade I open fracture of the tibial shaft treated with immediate or delayed interlocking intramedullary nail, and to study the functional outcome of the surgical procedure in a set up of a tertiary health care centre.
Fractures of the tibia shaft treated with locked intramedullary nail
ARS Medica Tomitana, 2013
Background: The gold standard treatment for complex fractures of tibial shaft is the reamed interlocking intramedullary nail. There has been some controversies about dynamization of statically locked nail, and some authors recommend routine dynamization for promotion of healing. This study evaluates the treatment of complex fractures of tibia shaft with static and dynamic interlocking intramedullary nail method. Methods: In this retrospective study, we studied 100 patients treated in Clinical Emergency Hospital Constanta between April 2012 - July 2013 diagnosed with tibia and fibula shaft fractures. They were treated by external fixation, and intramedullary nail. The intramedullary nail was blocked distally static or dynamic. Results: All patients achieved union during 12-18 weeks. The need of dynamization was required at 23 patients after 10 weeks from osteosynthesis. No significant complication was observed in our patients. Alignment of tibial fracture was perfect in all patients ...
Reamed Interlocking Intramedullary Nailing For Open Fractures of Shaft of Tibia
Introduction: With rapid increase in day-to-day traffic, incidences of high-energy trauma are also increasing with the same speed. Open fractures of the tibial shaft are important for the reason that they are common & controversial. Our aims and objectives were to assess the time to bone union and functional outcome in cases of open fractures of the tibial shaft treated with reamed interlocking intramedullary nailing. Methods: Thirty patients who had 30 open fractures of the tibial shaft were treated with wound debridement and primary interlocking intramedullary nailing with reaming during the period from June 2012 to March 2014. The patients were followed up for a period of 6 – 14 months. Results: There were 9 (30 %) Type I fractures, 8 (27%) Type II fractures and 13 (43%) Type IIIA fractures. Mean time to union was 20.25 weeks for Grade I fracture, 22.5 weeks for Grade II, 24.71 weeks for Grade IIIA fractures. Deep infection occurred in 2 patients. Aseptic nonunion occurred in one patient. Malunion was noted in one patient. Interpretation and Conclusion: The results in the current study and other data support the view that reamed locked intramedullary nailing is a safe and effective technique for the management of open tibial fractures. Keywords: Open tibial fractures, Reamed nailing
A Study of the Management of Open Fractures of Tibia by Unreamed Interlocking Nail
Journal of Evidence Based Medicine and Healthcare, 2015
To evaluate the results of closed interlocking intramedullary nailing without reaming in the treatment of open fractures of the tibial shaft and study the difficulties (complications) encountered during the operative study. To compare the efficacy of interlocking intramedullary nailing without reaming in treating open fractures of tibia, Time required for the union of fracture, Range of motion of ankle and knee joint, Rate of malunion and mal rotation and Pain at the knee joint. RESULTS: The average age of patient is 32 years,83.33% are males, road traffic accidents account for majority(79.16%),right side involved in 58.33%,gustillo type II and type I compound fractures are common, full range of movements is seen in 66.67% by 12 weeks and union occurred in 95.83% by 9 months. Thirteen (54.17%) patients had excellent results, six (25%) patients had good results, four (16.67%) patients had fair results and one (4.16) patient had poor result. CONCLUSION: Unreamed interlocking intramedullary nailing with the help of image intensifier seems feasible in open diaphyseal fractures of tibia with the advantages of minimal blood loss, low risk of infection, early mobilisation, earlier soft tissue coverage, Promotes early union,minimal hospital stay and early returns to activities.
Fracture union in closed interlocking nail in tibial shaft fracture
IOSR Journals , 2019
Introduction: The objective of this study was to find the outcome of interlocking nail in fracture tibia. Methods: This study was conducted in the Department of Orthopaedic Surgery in RIMS Ongole, from july 2016 to july 2019. Fourty patients were recruited from emergency and outpatient department having closed fracture of tibial shaft. The clinical results of our study were rated on the basis of the criteria of union, nonunion, delayed union, or malunion. All patients were operated under general or spinal anesthesia. All patients were followed for 9 months. Results: Nearly 70% (28/40) patients had union in 90-150 days Union was achieved in 15% (6/40) patients in 95-109 days. About 12.5% (5/40) had delayed unions and 2.5% (1/40) had nonunion which were treated with dynamization and bone graft. The results were excellent in 70% (26/40) and good in 15% (8/40) patients. All of our patients had full range of motion of their knees and ankles. Conclusion: We concluded that this technique is advantageous because of early mobilization (early weight-bearing) and less complication with good results and is economical.
Union in Fracture Tibia Managed with Closed Intramedullary Interlocking Nail, Our Hospital Results
Journal of Pharmaceutical Research International, 2021
Introduction: The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail. Methods: This research was carried out at Liaquat University of Medical and Health Science Jamshoro Pakistan from June 2020 to June 2021. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. Our study's clinical outcomes were categorized as union, nonunion, delayed union, or malunion based on the criteria. All of the patients were given anesthesia, either general or spinal. All of the patients were tracked for a period of nine months. Results: In 90–150 days, about 88 percent (220/250) of patients had union, with a mean of 110.68. Union occurred in 11.2 percent (28/250) of patients in 95–109 days, with a mean of 103.38. There were 7.2 percent (18/250) delayed unions and 4.8 percent (12/250) non unions treated with dynamization and bone tra...
Scholars Academic Journal of Biosciences
Original Research Article Background: Tibial shaft fractures are often the result of high-energy injuries in younger people, Fractures of the tibial shaft that are identified as 4 cm distal to the tibial tuberosity and 4 cm proximal to the ankle are treated with interlocking techniques. Intramedullary nailing is one widely used form of fixation with excellent results. The study aims to document the treatment benefits being offered and measure the functional outcome using a standard tool. Methodology: a prospective observational study: was planned for patients coming in the orthopedics department with fracture shaft tibia. They were included only after satisfying the laid down inclusion criterion while after performing routine procedures they were given the treatment of intramedullary interlocking nailing if indicated. Data collected on excel sheets were analyzed using SPSS for tests of association and measures of central tendency. Results: 55 participants were there who were offered the treatment of intramedullary nailing with interlocking nailing majority of them were males from BPL. Most of the injury was of type A from Motor vehicle accidents involving proximal shaft. John Wruh's criterion was used to assess the functional outcomes with 47% having excellent results. Only 3 (5%) of the patients had poor results. Conclusion: Interlocking Intramedullary nailing for tibial shaft fractures is an excellent method of surgical management. Intramedullary nailing decreases the occurrence of complications such as infection thus by decreasing the time to recover in patients receiving such injuries.