Fracture union in closed interlocking nail in tibial shaft fracture

Abstract

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 SMS and R, Sharda University, from December 2010 to December 2015. Two hundred and seventy-eight 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 86.33% (240/278) patients had union in 90–150 days with a mean of 110.68. Union was achieved in 10.07% (28/278) patients in 95–109 days with a mean of 103.38. About 9.35% (26/278) had delayed unions and 4.31% (12/278) had nonunion which were treated with dynamization and bone graft. The results were excellent in 86.33% (240/278) and good in 9.35% (26/278) 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.