Abstract: Background: Tibial diaphyseal fractures are one of the most commonest fractures in young adults around the world. It is usually managed surgically by using interlocking intramedullary nails. The present study is aimed to evaluate the Clinico-Radiological Healing of Diaphyseal Fractures of Tibia Treated by Interlocking Intramedullary Nail.
Materials and Methods: The study was done in the Department of Orthopaedic Surgery, SUT Academy of Medical Sciences, Vattapara, Kerala over a period 18 months from October 2019 to March 2021. Twenty-eight patients were included in the study based on the inclusion and exclusion criteria. All the patients were explained regarding the procedure, study and informed consent was obtained. Demographic, clinical data and 12th month results was recorded. The collected data was analysed by SPSS (20.0) version software.
Results: Half of the study group were aged between 21-30 years (n=14) with male female ratio was 14:1. Fourteen patients had closed type of fracture. Oblique type of fracture pattern was the most commonest compared to others. Twenty-three patients had fracture due to road traffic accident and middle third was the most commonest site of fracture. Most patients underwent surgery within 36-48 hours of injury. At 12th month of assessment, 24 patients had fracture union while 2 patients had delayed union and 2 patients had non-union. Functional grading showed excellent results in 19 patients and good results in 5 patients.
Conclusion: Interlocking intramedullary nailing is still a valid technique for the management of tibial diaphyseal fractures since its inception.
