A Interventional Study to know the Outcome of Reamed Intramedullary Interlocking nail in the Management of Tibial Shaft Fractures.

Abstract

BACKGROUND AND OBJECTIVES: ABSTRACT Many patients come to Department of Orthopaedics with tibial fractures. It is one of the common injuries occurring in adult age group. Though fracture unites with conservative treatment but associated with high morbidity. So fractures stabilization with intramedullary interlocking nail is useful to prevent morbidity. We aim to study the outcome of reamed intramedullary interlocking nail for the treatment of closed tibial shaft fractures. METHODOLOGY: A prospective study, including 30 cases done from January 2010 to December 2011. The cases were followed up for 6months at intervals of 6 weeks, 3 months and 6 months. The results were evaluated by assessing their functional outcome at followup as per Johner and Wruh’s criteria. All required routine investigations done pre-operatively. Study performed after obtaining consent of the patients. RESULTS AND INTERPRETATION: Excellent results were obtained in 70% of cases, good results in 16.6%, fair in 6.7%, poor in 6.7%. Complications include 3% of infection, 6.7% of malunion, 3% of non union. CONCLUSIONS: Reamed intramedullary interlocking nail is the reliable, versatile and effective treatment for closed tibial fractures. It minimizes the hospital stay and reduces the economic burden and enhances early return to work.