DOI: 10.36347/sjams.2020.v08i09.039

Pages: 2181-2186

Background: Tibial shaft fracture is relatively common fracture in all age groups followed by direct or indirect violence. Intramedullary interlocking nail is commonly used for treating fractures shaft of the tibia. We have very few data regarding this issue. Aim of the Study: The aim of this study was to assess the efficacy of interlocking intramedullary nail for the management of tibial shaft fractures of adult patients. Material and methods: This was a retrospective study and it was carried out during the period from January 2017 to January 2020 in TMSS Medical College & RCH, Bogura and Natore Trauma Centre & Hospital, Natore, Bangladesh. The study was approved by the ethical committees of both the mentioned institute. Before starting the main intervention the proper written consents were taken from all the participants. In total of 38 adult patients of above 18 years age from both sexes with closed fracture shaft of tibia were included as the study population. All data were collected, analyzed and disseminated by MS Office program. Results: The average duration of operation for each patient was 48.553 ± 6.46 mins. The length of the incision among 48 patients recorded from 3~5cm and the average length of the incision was 3.658 ± 0.56 cm. The average blood loss in the operation was 34.211 ± 4.73 ml. The postoperative hospital stay was recorded from 7~14 day and the average hospital stay of those patient was 9.911 ± 1.98 days. The number of X-ray exposure during the whole follow-up recorded from 11~17.5 seconds and average X-ray exposure time was 13.5 second. All the patients were able to walk properly at our last follow-up. Average weight bearing time was 5.763 ± 1.49 weeks. In final outcome analysis of this study we found satisfactory result in 32 patients which was 84% and unsatisfactory in 6 patients which was 16% of the total study people. Conclusion: Intramedullary interlocking nail is an excellent method for closed, type1, 2 and 3A open fractures of tibia...