Interlocking Tibial Nail in open Tibial Fracture

Abstract

ABSTRACTPurpose : To assess the clinical outcome of intramedullary interlocking nailing in open fractures of tibia, and to evaluate the incidence of complications in these open fractures as a result of the intramedullary nailing.METHODS: Between FEB 2018 and feb 2019, a total of 15 cases of open tibial shaft fractures were operated on with unreamed interlocking nails at zagazig university hospital, (6 females and 9 males) were available for study All fractures were classified according to Gustilo and Anderson system for open fractures. There were 9 (60%) type-I, 5 (33.3%) type-II,1 (6.7%) type-IIIA, . After thorough debridement under anesthesia, an interlocking nail was inserted. All nails were statically locked with two screw each proximally and distally.RESULTS: The patients were followed up for a mean period of 12 months (range, 6-12 months) and union time were evaluated according to the R.U.S.T score Results were good to excellent Rust score was distributed as 11.26±0.96 with minimum 9 and maximum 12 which refers to full union . Of all 15 patient 8 cases (53.6%) were with no complication and Superficial wound infection was (13.3%) as Ankle stiffness 1 case (6.7%), Delayed union 1 case (6.7%) and anterior Knee pain were 3 patient with (20.1%).CONCLUSION: This study demonstrates that grade I, II and III A open tibial shaft fractures can be treated with primary debridement and locked unreamed intramedullary nailing with good short-term results, a better biomechanical stability and early rehabilitations and infection rates as compared to other methods.