Key result
Closed intramedullary interlocking nailing for tibial shaft fractures is linked to 76% excellent functional outcomes.
Why the study?
The tibia is the most commonly fractured long bone, prompting a study to analyze the efficacy of closed intramedullary nailing in tibial shaft fractures.
Does closed interlocking intramedullary nailing provide effective healing in adults with tibial diaphyseal fractures?
Observational (n=50)
Random sampling
No
Does closed interlocking intramedullary nailing provide effective healing in adults with tibial diaphyseal fractures?
Closed interlocking intramedullary nailing is an effective treatment for tibial diaphyseal fractures, yielding a high rate of excellent clinical outcomes.
May support nailing for tibial shaft fractures in select cases; leaves open need for randomized trials to confirm outcomes.
Introduction: The tibia being the most commonly fractured long bone. A study was conducted to analyze the efficacy of closed intramedullary nailing tibial shaft fractures. Materials and methods: Study was conducted in the Department of orthopedics. Individuals with closed tibial diaphyseal fractures of >18 years, open diaphyseal fractures of tibia type I, type II were included. Open diaphyseal fractures of tibia Type III A, B, C, tibial fractures with intraarticular extensions and medically ill were excluded. Under spinal anesthesia, intramedullary locking was done as per the protocol. Results: During the study period, 50 fractures were included. the male-female ratio was 5.25. The youngest patient was 19 years and the oldest patient was 67 years. 60% of the participants had right tibial fractures and 40% with left. Thirty-nine (78%) participants simple and 22% (11) had type I and type 11 compound fractures. The majority of fractures (58%; 29) were united within 18-20 weeks. The average healing time was 19 weeks. Conclusion: In this study 16.9 weeks was the average healing time and 76% patients showed excellent outcome.
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Rao et al. (2020) conducted an observational in Tibial shaft fractures (n=50). Closed intramedullary interlocking nailing was evaluated on Excellent functional outcome (Johner and Wruh's criteria). Closed intramedullary interlocking nailing for tibial shaft fractures resulted in an excellent functional outcome in 76% of patients and an average healing time of 16.9 weeks.
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