Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Study of Difficulties Encountered in the Closed Intramedullary Interlocking Nail Operation Along With its Complications Among Patients With Diaphyseal Fractures of Tibia
Kaustubh Gate, Sanjay More and Rahul Bade
Page: 542-547 | Received 01 Jul 2023, Published online: 16 Jul 2023
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Abstract
The tibia, being a frequently fractured long bone, is particularly susceptible to direct blows and high‐energy trauma due to its exposed anatomical location. Closed nailing without reaming, followed by early walking and weight‐bearing, has proven to be one of the most effective treatment options. This approach demonstrates significantly lower complication rates and comparable outcomes when compared to other existing methods. This study's goal was to examine the difficulties and complications related to the closed intramedullary interlocking nail treatment among patients with tibia diaphyseal fractures in a tertiary hospital. The current investigation was a single‐center, prospective, observational study involving patients aged above 18 years, of any gender, who had a closed fracture of the tibia's diaphysis and were scheduled for dynamic interlocking nailing. One hundred and twenty patients with leg bone fractures were examined in the current study, 88 of whom were men. Seventy percent of the cases (patients) were under the age of 45. When compared to other modes, road traffic accidents accounted for 73% of the cases and were the main cause of these injuries. Regarding the kind of fractures, the majority of them (51%) were either non‐comminuted or had minor comminutions (31%). Most of the fractures that needed to be fixed were in the middle (52 percent) or distal third of the shaft (34%). Nail‐setting was done within 1‐7 days of the injury in 83% of the patients. The study also found delayed problems, such as delayed union (8 patients), discomfort (8 patients), reduced range of motion in the ankles (5 patients), malunion (2 patients), non‐union (2 patients) and limb shortening of more than 1 cm (2 patients). Patients can begin to bear weight earlier thanks to the use of interlocked intramedullary nailing, which promotes quicker fracture healing with fewer problems. We think that closed interlocking nailing is the best course of action for treating tibial diaphyseal fractures because of how well it works at encouraging union and how little chance of infection there is.
How to cite this article:
Kaustubh Gate, Sanjay More and Rahul Bade. Study of Difficulties Encountered in the Closed Intramedullary Interlocking Nail Operation Along With its Complications Among Patients With Diaphyseal Fractures of Tibia.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.542.547
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.542.547