The intramedullar interlocking nailing for the fractured tibia has been used in selected cases of fresh diaphyseal fracture, but the indication has been expended considerably with modern technical improvement.
The authors analyzed 28 cases of fresh fractures of the tibia, who were treated with unreamed intramedullary interlocking nailing in out hospital between May. 1990 to Oct. 1991, average follow-up was 12 months ranged from 8 to 22 months and we
obtained
the following results.
1. The most common causes of the injury were traffic accident(19 cases).
2. Mostly associated injuiry was ipsilateral fibular fracture(24 cases).
3. We used unreamed intramedullary interlocking nail in all cases and dynamic and static interlocking were done in 12 cases and 16 cases respectively.
4. The average bony union was demonstrated radiographically at 16 weeks.
5. The complications were deep infection(1 cases), delayed union(2 cases), angular deformity(4 cases), superficial infection(3 cases), limitation of knee joint ROM(3 cases) and shortening of leg length(2 cases).
6. In cases of the treated for method of unreamed nailing, it is not difficut to insert the nail, and we obtained good bony union, decresed operation time and bleeding.The authors concluded that unreamed intramedullary interlocking nailing is
useful
method to treat the tibia fracture.
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