Abstract: Introduction: Segmental tibial fractures are complex injuries associated with significant soft tissue damage that are difficult to treat. Aim of the study was to evaluate the Functional and Radiological outcome following closed interlocking intramedullary nailing for segmental fractures of tibia.
Method: A retrospective and prospective study Conducted in RMMCH, Annamalai University 32 patients (26 males and 6 females) with segmental tibial fractures were included and functional outcome of these fractures were evaluated after interlocking nailing for tibia. In follow-up, we determined the time to union, delayed and nonunion and overall complication rates and functional outcome by Johner and Wruchs criteria. All patients were followed for eighteen months
Results: Majority of the cases union time lies between 25 to 30 weeks. Proximal segment unites faster than distal segment. Post operative complications noted in 14 cases. Open injuries is related with higher complication rate. Timely intervention secondary procedures were done depending on the complications. Two subjects were fully recovered and implant exit was done. The final outcome based on JOHNER AND WRUCH’S criteria were excellent in 26 cases good in 6 cases.
Conclusion: Patient counselling regarding the complex nature of injury and the possible requirement of secondary procedures should be anticipated and addressed. The results of our study suggest that if soft-tissue handling and restoration of anatomical alignment are successful in the treatment of challenging segmental tibial fractures, IMN will be good treatment method.
