Muhammad Khalid Khan, Samad Khan, Muhammad Shoaib.
Sequelae of Reamed Interlocking Nail in the Tibial Fractures in terms of Union & Wound Infection.
Ophthalmol Update Jan ;14(4):154-6.

Introduction: Tibia fracture is an orthopedic problem. It is commonly fractured because of its location and anatomy. The fracture may be either closed or open. The surgical choices for fixation are external fixator, open reduction and internal fixation with plate and ILN closed or open. Intramedullary nailing is the common surgical treatment option for open tibial diaphyseal fractures (type I, II and type IIIA). After intramedullary nailing, the postoperative complications in open fractures are different in literature. Objective: To know the sequelae of reamed intramedullary interlocking nail in open tibial diaphyseal fractures in terms of union and wound infection. Material & Methods: This study was conducted in orthopedic Department of Kabir Medical college Teaching Hospital Peshawar on 75 patients with open tibial diaphyseal fractures (Gustilo-Anderson classification type I and II). After reamed intramedullary nailing, patients were followed for wound infection at Two weeks postoperatively and union at 16 weeks. Results: There were 57(76.00) males and 18(24.00%) female with the mean age of 40.50years � 14.89SD. 69(92.00%) patients had no wound infection 06(8.00%) patients had wound infection at two weeks out- patient visit. Union of fracture at 16 weeks was noted in 72(96.00%) patients. Conclusion: Reamed intramedullary interlocking nailing is a good mode of internal fixation in Gustilo-Anderson classification type I and II open fractures of tibia in terms of low infection rate and good union rate.

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