1. Efficacy And Safety Of Interlocked Intramedullary Nailing For Open Fracture Shaft Of Tibia.
- Author
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Ahmad N, Khan MS, Afridi SA, Afridi SA, Awan AS, Afridi SK, Sultan S, Saifullah K, and Lodhi FS
- Subjects
- Adult, Cohort Studies, Female, Humans, Male, Bone Nails adverse effects, Bone Nails statistics & numerical data, Fracture Fixation, Intramedullary adverse effects, Fracture Fixation, Intramedullary instrumentation, Fracture Fixation, Intramedullary methods, Fracture Fixation, Intramedullary statistics & numerical data, Fractures, Open epidemiology, Fractures, Open surgery, Tibial Fractures epidemiology, Tibial Fractures surgery
- Abstract
Background: Due to increasing population and changing human habits the number of accidents and high energy trauma is rising. Management of open fracture tibia is a complex problem and is a challenge for both orthopaedic and plastic surgeons. The study was carried out to ascertain the efficacy and safety of interlocked intra-medullary nailing for open shaft tibial fractures in patients presenting at or after 24hr of injury., Methods: In this descriptive case series, over a period of 6 moths, 163 consecutive cases of open fracture of tibial shaft were reviewed in terms of clinical profile, time of presentation, and gender distribution., Results: In this study mean age was 30±0.02 years. Males comprised 85% of study population while 15% were females. Gustilo-I type fracture and Gustilo-II type fracture was diagnosed in 90% and 10% patients respectively. Thirty three percent patients had wound infection while fracture union was found in 15% cases. Moreover interlocked intramedullary nailing for open fracture shaft of tibia was safe in 80% patients while this procedure was effective in 85%., Conclusions: Un-reamed, interlocked intra-medullary nailing may be considered as a suitable option for treatment of open fractures of tibia.
- Published
- 2016