Abstract
Objectives: We evaluated the results of intramedullary tibial nailing in closed or type I open fractures. Methods: Forty patients (32 males, 8 females; mean age 38.2 years; range 20 to 83 years) with closed or type I open fractures were treated with reamed tibial intramedullary nailing with closed technique. The indications for intramedullary nailing were malposition of the fracture after cast application in 17 cases, unstable tibial fractures in 15 cases, and multiple fractures in eight cases. The mean follow-up was 58 months (range 44 to 72 months). The results were evaluated according to the criteria by Folleras et al. Results: Union occurred in a mean of 13.7 weeks (range 8 to 29 weeks). Autogenous bone grafting was performed in one case with delayed union. The distal locking screw broke in one patient. In two cases, an external rotation of 5° was detected. The mean degree of knee flexion was 120°. No signs of compartment syndrome were observed postoperatively. The results were very good in 36 patients, good in two, moderate in one, and poor in one patient. Conclusion: We suggest that closed intramedullary nailing with an interlocking nail system is an effective treatment method for closed or type I open tibial fractures.
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