A STUDY ON ROLE OF INTERLOCK NAILING IN THE MANAGEMENT OF TIBIAL DIAPHYSEAL FRACTURES

Tibial fractures are one of the commonest orthopedic injuries. Tibial fractures are one of the commonest orthopedic injuries. In the past several years there has been a trend towards by use of small diameter nails without remaining in the management of unstable tibial shaft fractures. However it is important to remember that many closed fractures with less severe soft tissue injury, Treatment with an intramedullary nail with reaming allows placement of larger implant, thereby minimizing the incidence of mechanical failure. While maintain high rates of union. METHODS: In our study, 100 cases of tibial diaphyseal fractures were treated with Interlocking nailing in between May-2012 to April 2015 at Siddhartha Medical College/Government General Hospital, Vijayawada. RESULTS: In our study, among 100 cases 86 were closed fractures, and 8 were open fractures and 6 non-unions. Of the 100 cases 56 (56%) on right side, 38 (38%) on left side, 6 cases (6%) were bilateral. The commonest type of fracture is spiral or long oblique in 40 cases (40%). Transverse or short oblique in 28 cases (28%), comminuted in 24 cases (24%) and segmental in 8 cases (8%). The average time for union is 14 weeks with a range of 12-40 weeks.. 2 patients developed delayed union due to distraction at the fracture site.