Outcome Of Unreamed Intramedullary Interlocking Nailing In Management Of Compound Tibial Fracture | ||
| Zagazig University Medical Journal | ||
| Article 3, Volume 28, Issue 2, March 2022, Pages 191-196 PDF (263.88 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.11590.1197 | ||
| Authors | ||
| mohamed abdulghader elbukari* 1; ahmad mohammad abdelwahab2; Khaled abdulrahman Idris3 | ||
| 1zagazig university faculty of medicin | ||
| 2Orthopeadic surgery department faculty of medecin zagazig university | ||
| 3orthopeadic department faculty of medicin zagazig university | ||
| Abstract | ||
| ABSTRACT Purpose : 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. | ||
| Keywords | ||
| tibia; open; nail; interlocking | ||
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