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.
elbukari, M., abdelwahab, A., & Idris, K. (2022). Outcome Of Unreamed Intramedullary Interlocking Nailing In Management Of Compound Tibial Fracture. Zagazig University Medical Journal, 28(2), 191-196. doi: 10.21608/zumj.2020.11590.1197
MLA
mohamed abdulghader elbukari; ahmad mohammad abdelwahab; Khaled abdulrahman Idris. "Outcome Of Unreamed Intramedullary Interlocking Nailing In Management Of Compound Tibial Fracture". Zagazig University Medical Journal, 28, 2, 2022, 191-196. doi: 10.21608/zumj.2020.11590.1197
HARVARD
elbukari, M., abdelwahab, A., Idris, K. (2022). 'Outcome Of Unreamed Intramedullary Interlocking Nailing In Management Of Compound Tibial Fracture', Zagazig University Medical Journal, 28(2), pp. 191-196. doi: 10.21608/zumj.2020.11590.1197
VANCOUVER
elbukari, M., abdelwahab, A., Idris, K. Outcome Of Unreamed Intramedullary Interlocking Nailing In Management Of Compound Tibial Fracture. Zagazig University Medical Journal, 2022; 28(2): 191-196. doi: 10.21608/zumj.2020.11590.1197
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