Dilawar Khan, Asghar Khan, Riaz M, Anwar Ali.
Outcome of the interlocking nailing in open fracture tibia.... type I to type III(A).
J Saidu Med Col Jan ;7(1):12-6.

BACKGROUND: Tibia is one of the most commonly fractured long bone. Common causes of the injury are road side accidents, falls from heights, fire arm injuries, blasts and direct hits. Being exposed part of the body it is more commonly injured in the Traffic accidents. Open Fractures with the wound of the Tibia are not rare. In case of the open fractures the priority for treatment is mainly the management of the wound and then the fracture itself. There are three types of the open fractures according to the Gustilo and Anderson i.e. Type I, II and III (a, b & c) according to the conditions of the wounds. Close fractures and open fractures of type I, II & III, up to type III A can be treated surgically with internal fixation. OBJECTIVE: To determine outcome of interlocking nail in type I, II and IIIA Open Fractures of the tibia shaft. MATERIAL AND METHODS: This descriptive study was conducted in Orthopedic Department Saidu Teaching Hospital Swat from October 2013 to September 2015 in 69 Patients. Patients of both gender with adult age with open type I,II and IIIA Tibia shaft fracture were included. Patients less than 15 years with open physes, patients with type III B and III C, patients with anatomical deformities and elderly patients above 60 years with comorbidities were excluded. Outcome of the procedure was measured in terms of postoperative infection, improvement in Range of motion (ROM) and fracture healing time. Statistical analysis was performed to identify factors influencing results. RESULTS: In majority of the patients (60.87%) the mode of injury was Road traffic accident in more than 90% of the patients the functional outcome of the procedure was excellent. There were 4 complications with 2 patients had post operative infection and 2 delayed union and there was no mortality in the series. CONCLUSION: Interlocking nail is a very effective procedure for the treatment of open tibia type I,II and IIIA fractures. It is effective irrespective of the age of the patient and mode of injury. KEY WORDS: Interlocking Nail, Open Tibia Type I,II and IIIA fractures, Outcome.

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