Evaluation of the Results of Closed Interlocking Intramedullary Nailing in Management of Tibial Diaphyseal Fractures - A Prospective Study

Background And Objectives: The tibia is the large long bone of the body and one of the principle load bearing bones in lower extremity, fractures can cause prolong morbidity and extensive disability unless the management is appropriate. Various methods are now available for management of diaphyseal fractures of tibia. Each method has its own advantages, disadvantages and limitations also. The type of fracture, location, degree of comminution, age, and patient's socio-economic demands are the other factors which inuence the method of management. The difculties that arises in the treatment of tibial diaphyseal fractures include – 1. A high incidence of open and infected fractures as the antero-medial surface of tibia is subcutaneous. 2. A tendency of displacement of fragments when initial swelling due to fracture subsides. 3. Functional disabilities if alignment and rotational position of fracture fragments is not perfect. Tibia is guarded by the presence of hinge joint at knee and ankle (modied/atypical hinge joint) which allows no adjustment for rotation deformity, as the knee and ankle joint normally moves in the same parallel axis. 4. Delayed union and non union as a result of severity of fracture, poor blood supply and sometimes distraction of bone fragments seen in complex fractures. 5. Limitations of joint movements at the knee, ankle and foot usually caused by associated joint, soft tissue and vascular injury. 6. OBJECTIVE is to study and evaluate the results of closed interlocking intramedullary nailing in management of tibial diaphyseal fractures. Results: In total 30 patients were assed at the end of 16 weeks follow up, most of the patients showed excellent results 24 patients, 4 patients falls under good category, 2 patients showed fair results and none of patient showed poor results.