Prospective randomized study of outcome of intramedullary interlocking nail as primary fixation method in grade 1 & 2 compound fractures of tibia

Abstract

Fractures of tibia shaft is itself a great dilemma and becomes more difficult to treat when it becomes a compound fracture. So in this new era of fast paced technologies, an aggressive approach is required to treat such fractures in view of early rehabilitation and return to occupation. This prospective randomized study was conducted at department of Orthopedics in Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur to evaluate outcomes of intramedullary interlocking nail as primary fixation method in compound fractures of tibia. Surgery duration was less in intramedullary nail because in most of the cases fractures were easily reduced, minimal surgical exposure and associated less closure time. Intra operative image intensifier use was significantly more because of distal screw locking and determination of nail length. Post operatively aim of the treatment was to make the patient upright, and start weight bearing as early as possible as per the personality of fracture. In follow up of cases at 12 and 24 weeks as per functional outcomes patients had very mild difficulty in performing activities of daily living. On concluding the outcome as per Johner and Wruhs Criteria at 24 weeks excellent score was found in 70% cases of ILN while it was poor in 5% cases and remaining had good to fair outcomes.