Aslam Siddiqui, Mehtab Ahmed Pirwani, Krishan Lal, Ataur Rahman.
Reamed versus unreamed interlocking intra medullary nailing for the fracture shaft tibia.
Pak J Surg Jan ;25(1):53-7.

Objective: To compare the results of Reamed Interlocking Intra Medullary Nailing versus Un Reamed Interlocking Intra Medullary Nailing in fracture shaft tibia. Study Design: Comparative study conducted from July 2006 to June 2008. Setting & Duration: Department of Orthopaedic, Unit II, Dow University of Health Sciences and Civil Hospital, Karachi. Methodology: Sixty patients with fracture shaft tibia were included. Patients of either sex between 15-60 years of ages were included. The patients were randomly assigned in 2 groups i. e. Group A and Group B having 30 patients of each group. Group A patients were managed with Reamed Interlocking Intra Medullary Nailing and Group B managed with Un-reamed Interlocking Intra Medullary Nailing. Results: Among the 60 patients, 278 were male and 32 female, with ages varying from 15-60 years, the average age of the patients was 42.6 years in Group A and 34.4 years in Group B. Results were evaluated for clinical and radiological data. We were able to complete the follow up of all the patients. Satisfactory union achieved in 96% of Reamed Nailing and 40% patients under went with non union/delayed union/mal union with Un Reamed Interlocking Intra Medullary Nailing in fracture shaft tibia. Conclusion: Reamed intrelocking intramedullary nailing is the best method of fixation for fracture of shaft tibia.

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