Results of Primary Tibial Nailing of Open Tibial Diaphyseal Fractures in Adults

Khattab, Ahmed Lotfy Mohamed; Elguishi, Ali Mohamed; Elsherbiny, Elsherbiny Ali

doi:10.58675/2682-339X.2899

Results of Primary Tibial Nailing of Open Tibial Diaphyseal Fractures in Adults

Document Type : Original Article

Authors

Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.58675/2682-339X.2899

Abstract

Background: Tibial fractures are the most common long bone fractures encountered by most Orthopedic surgeons, and the majority of them are compound fractures. Since one-third of the tibial surface is subcutaneous, open fractures are more common in the tibia than in any other long bone.
Aim: To assess results of primary tibial nailing of open tibial diaphyseal fractures G I and G II in adult patients regarding union information and complication.
Patients and methods: This prospective interventional study involved 15 patients with diaphyseal tibial open fractures who were admitted to the Orthopedic Surgery Department, Faculty of Medicine Al-Azhar University, and Zagazig General Hospital. Time from 2020 to 2024, about 60 months.
Results: It found that shaft fractures were more frequent than upper and lower, and most of the fractures were grade I. It found a statistically significant good negative correlation between the time interval to surgery and time to complete union. It found a statistically significant good positive association between time to complete union and complications, while a statistically significant negative correlation was observed between time to complete union and satisfaction. It found a statistically significant positive association between fracture grade and complications and time to complete union.
Conclusion: Intramedullary nailing is the best technique for managing Gustilo type III open tibial fractures due to its reduced occurrence of infectious complications and problems with fracture healing.

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