Background: Tibia is the most usually fractured long bone. The present study has been taken to review the results of diaphyseal fractures of tibia both closed and open fractures. To evaluate the results of Interlocking intramedullary nailing in diaphyseal fracture of tibia in both open and closed fractures and associate them with fracture union, complications, range of movements and serum lactate levels.
Methods: This is a prospective study conducted on included 80 consenting patients of both sex and above 18yrs and below 60years with Gustilo’s grade I and II, admitted in RRMCH with both open and closed fracture of tibia who met a predefined criteria. Following ethical clearance the study was initiated. On admission in the ward, detailed history was taken, severity of the injury, extent and type of the trauma to the tissues and detailed examination of the affected extremity was done. Ski grams were studied in detail so as to classify the fracture. The patient is usually followed up at 4 weeks, 8 weeks, and 12 weeks, 16 weeks, 20 weeks and 6 months.
Results: Tibial fractures were more commonly seen in males, 30-50 years. We found that Road Traffic Accident was the prime cause of Tibial fracture 62%. The dominant side was commonly involved, 55% the fracture was type I gustilo’s grade. There was a direct relationship of the level of serum lactate with the grade of injury and an inverse relationship with the duration of healing and the complication rate.
Conclusion: In the present study we concluded that serum lactate positively co-relates with the severity of injury.