Abbas Ali, Muhammad Ayaz Khan.
Outcome of Reamed Intra-Medullary Interlocking Nail in the Tibial Diaphyseal Fractures, in Terms of Frequency of Union & Wound Infection.
Ophthalmol Update Jan ;14(2):63-5.

Back Ground: Open Fracture shaft of tibia is a orthopaedic problem the nature of bone due to subcutaneous, it is usually operative modalities use for fixation of open fractures are the cast and braces, dynamic compression plate (DCP), external fixator and intramedullary nail (IMN). After intramedullary nailing, the postoperative complications report infection 12.09%. union after intramedullary nailing is 85.48%. Intramedullary nailing is the common surgical treatment option for open tibial diaphyseal fractures (type I & II). Objective: Determine outcome of reamed intramedullary interlocking nail in tibial diaphyseal fractures in terms of frequency of union and wound infection. Material & Methods: Study Design: Experimental study. Setting: The study was conducted in orthopaedic Department of Khyber Teaching Hospital Peshawar. Duration of Study: Eight months after the approval of synopsis from 10.12.2012 to 10.08.2013 Results: 100 patients were included in study, 76 were males and 24 females. Patients were followed for wound infection at 12th postoperative day and union at 24 weeks 88 % patients had no infection and 12(12.00) patients developed infection. 84(84%) fractures healed in 24 weeks and 16 (161) either went into delayed union or non union. Conclusion: it is concluded that reamed intramedullary interlocking nailing is a good mode of internal fixation in type I and II open fractures of tibia as it allows early weight bearing. It minimizes the chances of infection, delayed union and union in maximum cases.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com