Abstract
Background and objectives: With increase in population, industrialization and traffic density there is high incidence of road traffic accidents. The incidence of high energy trauma are increasing in the same proportion. Tibial diaphyseal fractures are the commonest long bone fractures encountered by most orthopedic surgeons. One third of the length of tibial surface is subcutaneous, Open fractures are more common in tibia than in any other major long bone. This led us to design study of reamed versus unreamed intramedullary interlocking nailing for open tibial diaphyseal fractures. Materials and methods: 60 consecutive patients who had open fractures of tibial shaft were treated with wound debridement and interlocking intramedullary nailing with or without reaming during the period from October 2009 to September 2011. The patients have been followed up for 6-8 months during this study. Results: open tibial diaphyseal fractures surgically managed both reamed and unreamed gave good functional results. In our study according to Johner and Wruh’s criteria there is no significant difference in reamed and unreamed intramedullary interlocking nailing for open tibial diaphyseal fractures. Interpretation and Conclusion: Thorough and early wound debridement and early wound coverage along with intramedullary interlocking nailing for open tibial diaphyseal fractures is the key to minimize deep infection. No
Highlights
With increase in population, industrialization and traffic density there is high incidence of road traffic accidents, The incidence of high energy trauma is increasing in the same proportion.[1]
Materials and Methods: This study involved both male and female patients with open fractures of tibia, who presented to casualty, 60 patients who had open fractures of tibial shaft were treated with wound debridement and interlocking intramedullary nailing with or without reaming
Smith JE10 18 open tibial fractures treated with reamed intramedullary nailing had 33% infection, most of the fractures associated with severe soft tissue injury
Summary
Industrialization and traffic density there is high incidence of road traffic accidents, The incidence of high energy trauma is increasing in the same proportion.[1] Because one third of the tibial diaphyseal surface is subcutaneous, open fractures are more in tibia than in any other major long bones. Prevention of infection, bony union and functional range of movements are the milestones for successful treatment of open tibial fractures. One third of the length of tibial surface is subcutaneous, Open fractures are more common in tibia than in any other major long bone This led us to design study of reamed versus unreamed intramedullary interlocking nailing for open tibial diaphyseal fractures. In our study according to Johner and Wruh’s criteria there is no significant difference in reamed and unreamed intramedullary interlocking nailing for open tibial diaphyseal fractures. No significant difference in fracture union for both the groups
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