M Zubair Javaid, M Abdul Mateen, Gul Nawaz.
Tibial Shaft Fractures - Treatment evaluation with Interlocking nail and Dynamic Compression Plating
J Surg Dec 2000;19-20:33-5.
Department Of Orthopaedics, Pakistan Institute of Medical Sciences, Islamabad
We have selected eighty patients with unstable tibial shaft fractures. These patients were divided into two groups. Group: I, fractures were fixed with dynamic compression plates. Group II, patients were treated with intra-medullary interlocking nails. Intra-medulary nailing for tibail shaft fractures has been an effective modality, which allows early ambulation, early weight bearing, decreased hospitalization, decreased dependency and decreased period of time away from job. While the dynamic compression plating provide axial compression without the use of tension device. We have found that intramedulary nailing is the better option for internal fixation of tibial shaft fractures, if the instruments and proper expertise are available. CONCLUSION: The closed interlocking technique of tibial shaft fracture has fewer complications compare to DCP, where expertise and facilities available it is very reliable procedure. However use of fluoroscope, instrumentation and very high cost of nails has not made it a universal treatment in our country compare to developed world.
Category: Orthopedic Surgery
Keywords: Interlocking Nail. DCP. Tibia. Shaft fractures.
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