Occurrence of closed diaphyseal fractures of tibia in adults

Abstract

This study has been done to evaluate the results and complications of intramedullary interlocking nail for closed diaphyseal fracture of tibia in adults. 50 adult patients of fresh tibial shaft fractures treated surgically between December 2014 to march 2016. Among these 72% males and 28% females and RTA was the common cause of fractures and right side accounts for 60%. Surgery were performed with in 5 days average with interlocking intramedullary nail, trans tendinous approach was used in all 50 cases and reaming performed in all cases. All the fractures united with a union rate of 94%. Radiological union was possible in 12.2 weeks, average range of motion in knee joint flexion was 1350, full ankle motion observed in 90% patients. There were one case of mal union, two cases of superficial infection, twelve cases of knee pain, one case of implant failure, one case of shortening, one case of Nonunion and two cases of delayed union. Functional results according to criteria by Klemm and Borner, 92% of patients achieved good or excellent results, fair result obtained in one patient and one patient functional result was poor.