FRACTURES OF TIBIA WITH INTERLOCKING NAIL– EVALUATION OF RESULTS IN OUR GOVERNMENT GENERAL HOSPITAL.

Venkateswara Swamy. P; Sudhakar. K

Volume : VIII, Issue : I, January - 2018

FRACTURES OF TIBIA WITH INTERLOCKING NAIL– EVALUATION OF RESULTS IN OUR GOVERNMENT GENERAL HOSPITAL.

Venkateswara Swamy. P, Sudhakar. K

Abstract :

Fractures of tibia are among the most common fractures accounted in orthopedic practice since the bone is subcutaneous and is load beå bone in lower extremity. Its fracture may result in extensive disability unless treatment is appropriate. Few topics regarding the care of fracture are as controversial as that of the treatment of fractures of shaft tibia because of high prevalence of complications associated with their management and so optimum method of treatment remains a subject of controversy. It is therefore incumbent on part of orthopedic surgeon to be skilled in a variety of treatment methods including closed functional acing, external skeletal fixation and closed reduction and internal fixation.

Some authors documented their experiences with functional acing in the successful management of closed tibial fracture. However not all fractures are amenable to ace treatment and the method is also not devoid of complications viz., shortening and angulation. In recent years, closed intramedullary nailing has become the method of choice for treatment of tibial fracture.

Conventional method of treatment of compound fractures aims at achieving good soft tissue coverage after deidement and external fixation followed with definitive management after wound healing. However infection, delayed union and non union are generally acknowledged as a sequelae for compound fracture.

Intramedullary nails without reaming have been employed successfully in the treatment of tibial compound fracture and have been associated with low rates of post operative infection. This study of 25 cases is endeavored to study surgical techniques of interlocking nail and to evaluate its result in the treatment of closed and open fracture of tibial shaft. < style="mso–special–character:line–eak" /> < style="mso–special–character:line–eak" />

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