Evaluation of the treatment of Open Fracture of Tibia by Primary Nailing

Authors

  • Mohammad Saiful Islam Classified Specialist in Orthopaedics, CMH, Dhaka
  • Mohd Rezaul Karim Adviser Specialist in Orthopaedics& Head of the Department, CMH, Dhaka
  • Zamil Zaidur Rahim Classified Specialist in Orthopaedics, CMH, Dhaka 4. Maj S M Eqbal Hossain, Classified Specialist in Orthopaedics, CMH, Dhaka

DOI:

https://doi.org/10.3329/bjms.v23i3.75019

Keywords:

Open fracture tibia; Primary Intramedullary nailing; Functional outcomes.

Abstract

Aim: Open  fracture  of  the  tibia  is  most  common  in  road  traffic accident specially motor cycle accident.  Topics of debate in the orthopaedic traumatology continue regarding the specific methods of bone stabilization and soft tissue management of open fracture of Tibia.

Objectives: To evaluate the results of intramedullary nailing in the open fractures of the tibia in Combined Military Hospital, Dhaka.

Material and Methods: A  prospective  study  was  done  from  January  2018  to  June 2019in  Combined  Military  Hospital,  Dhaka.  Total  twenty cases  were  selected  who  sustained  open  fractures  of tibia  Gustilo  and  Anderson  grades  I,  II  and  IIIA.  Primary undreamed  intramedullary  interlocking  nail  fixation  done after  thorough  debridement  and  wounds  were  closed  with suture. All the patients were followed up for a minimum of one year.

Results:  Of the total twenty cases, ten were of grade I, seven were of grade II and three were of grade IIIA injury. Dynamization was done in nine cases. The average time to union was 16.0 weeks in the grade I cases, 18.3 weeks in the grade II cases and  23.6  weeks  in  the  grade  III A  cases. The  mean  time  to union  was  19.3  weeks.  Infection  occurred  in  3  cases.  Mal union  was  observed  in  one  case  of  type  IIIA.  No  case  had any  implant  failure  (nail  /  screw  breakage),  or  deep  vein thrombosis.

Conclusion: From our study we have concluded that the unreamed intramedullary nailing in cases of open fractures of the tibia with soft tissue closure results faster soft tissue and bony healing.  Biomechanical  stability,  early  rehabilitation  and infection rates are also comparable to those which are seen with other methods.

Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 638-642

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Published

2024-07-29

How to Cite

Islam, M. S., Karim, M. R., & Rahim, Z. Z. (2024). Evaluation of the treatment of Open Fracture of Tibia by Primary Nailing. Bangladesh Journal of Medical Science, 23(3), 638–642. https://doi.org/10.3329/bjms.v23i3.75019

Issue

Vol. 23 No. 3 (2024)

Section

Original Articles

License

Copyright (c) 2024 Mohammad Saiful Islam, Mohd Rezaul Karim, Zamil Zaidur Rahim

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