Treatment of Tibial Fractures by Locked Intramedullary Nail at Al-Nasiryah Teaching Hospital
Keywords:
Treatment of tibial fracture by locked intramedullary nail, Thi QarAbstract
Background: Intramedullary nailing is an efficacious method for the treatment of diaphysealtibial fractures. Nonetheless, infrapatellar intramedullary nailing may readily induce angulation and
rotational displacement at the fracture termini, hence elevating the risk of postoperative infection.
We were shown successful reduction and stabilization with intramedullary nailing. We employed
locked intramedullary nailing for the management of tibial fractures.
Aim of Study: We aim to evaluate the outcome of our strategy for managing tibial fractures
through the use of a locked intramedullary nail. We also aim to assess the effectiveness of this
device, making it a viable treatment option for such damage.
Methods and Result: Between January 2022 and March 2023, 50 patients were enrolled for
tibial fracture fixation with locked intramedullary nailing. There were 40 males and ten females.
The average age was 35 years (range: 20 to 60). The average follow-up duration was (8). We
collected age, gender, fracture type, fracture features, union rate, healing duration, and
complications where, in form of time from injury to surgery days, there was no appreciable
statistical variation depending on gender categories.
Conclusion: The application of intramedullary nail fixation has proven to be an effective
technique and is considered a viable treatment option for tibial fractures in our country. This method
is associated with a high rate of union and favorable functional outcomes, with no observed
functional impairments.
References
Bengner U, Ekbom T, Johnell O, Nilsson BE. Incidence of femoral and tibial shaft
fractures. Epidemiology 1950-1983 in Malmo, Sweden. Acta orthopaedica Scandinavica.
;61(3):251-4.
Court-Brown CM, McBirnie J. The epidemiology of tibial fractures. The Journal of bone
and joint surgery British volume. 1995;77(3):417-21.
Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation
Techniques Recommended by the AO-group. Berlin, Heidelberg, New York: Springer
Verlag; 1969.
Lottes JO. Intramedullary fixation for fractures of the shaft of the tibia. South Med J.
;45(5):407-14.
Insall JN, Ranawat CS, Aglietti P, Shine J. A comparison of four models of total knee
replacement prostheses. J Bone Joint Surg Am. 1976; 58:754–65. [PubMed] [Google
Scholar] clinical trial,” The Bone & Joint Journal, vol. 101- B, no. 9, pp. 1138–1143, 2019.
Müller ME, Koch P, Nazarian S, Schatzker J. The Comprehensive Classification of
Fractures of Long Bones. Springer-Verlag Berlin Heidelberg: Springer Science and
Business Media; 1990. [Google
Scholar]2. Bono CM, Levine RG, Rao JP, Behrens FF. Non-articular
proximal tibia fractures: Treatment options and decision making. J Am Acad Orthop Surg.
;9:176–86.[PubMed][Google Scholar]
Eastman J, Tseng S, Lo E, Li CS, Yoo B, Lee M. Retro patellar technique for
intramedullary nailing of proximal tibia fractures: A cadaveric assessment. J Orthop
Trauma. 2010; 24:672–6. [PubMed] [Google Scholar]
Ali A Alwan Al-Tamimi & Aram Abdullah Rasheed. Locking intermedullary nail versus
plate and screws for fixation in tibial diaphyseal fracture, Bas J Surg, December, 22, 2016
Al-algawy Alaa A.H. Tibial shaft fractures treated with closed intramedullary nailing,
short-term outcome, Medical Journal of BabylonVol. 7-No,4-3-2010
Court-Brown and MacBurnie Brown and MacBurnie J. The Epidemiology of Tibial
Fractures. JBJS (Br) Vol. 77 Vol. 77-B. No. 3. May 1995.
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