Does early interlocking intramedullary nailing result in good functional outcomes and normal autonomic function in young adults with diaphyseal fractures of the tibia?
Closed interlocking nailing is an effective treatment for diaphyseal tibial fractures with high union rates, and most patients demonstrate normal autonomic function post-operatively.
Tibia is a large bone of the body and one of the principal load bearing bones in lower extremity. Non-operative treatment of tibial fractures is associated with a high prevalence of malunion, stiffness of the joint & poor functional outcome. Intramedullary interlocking nailing is a technique which allows stable reduction and early mobilisation. The assessment of autonomic functions is an important part of the evaluation of peripheral and central nervous system.
Das et al. (Mon,) studied this question.