Abstract
Introduction: The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail.
 Methods: This research was carried out at Liaquat University of Medical and Health Science Jamshoro Pakistan from June 2020 to June 2021. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. Our study's clinical outcomes were categorized as union, nonunion, delayed union, or malunion based on the criteria. All of the patients were given anesthesia, either general or spinal. All of the patients were tracked for a period of nine months.
 Results: In 90–150 days, about 88 percent (220/250) of patients had union, with a mean of 110.68. Union occurred in 11.2 percent (28/250) of patients in 95–109 days, with a mean of 103.38. There were 7.2 percent (18/250) delayed unions and 4.8 percent (12/250) non unions treated with dynamization and bone transplant. The outcomes were outstanding in 88 percent (220/250) of the patients and good in 7.2 percent (18/250). Our patients all had full range of motion in their knees and ankles at the time of their examination.
 Conclusion: We found that this approach is beneficial due to early mobilization (early weightbearing), reduced complexity, good outcomes, and low cost.
Highlights
The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail
Our patients all had full range of motion in their knees and ankles at the time of their examination. We found that this approach is beneficial due to early mobilization, reduced complexity, good outcomes, and low cost
Tibial shaft fractures occur in about 2/1000 people per year in the general population [1]
Summary
The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. To treat closed displaced tibial shaft fractures, intramedullary fixation devices such as Centro medullary nails (K nails and V nails), interlocking intramedullary nails (reamed or unreamed), and numerous flexible intramedullary pins, such as Ender nails, have been utilized [4]. An image intensifier for the C-arm is commonly used in closed reduction, closed nailing, and locking bolts on both the proximal and distal ends [9,10,11] This prospective study's ultimate objective is to early rehabilitation and accomplish fracture union, as well as a short hospital stay and a favorable fracture healing response
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