Assessing the Outcomes of Unreamed Interlocking Intramedullary Nailing in Open Tibial Shaft Fractures: An Observational Study (Code-T0203)

Introduction: Open tibial shaft fractures are common orthopedic injuries often associated with high-energy trauma. The management of these fractures is challenging due to soft tissue damage and high infection risk. Unreamed interlocking intramedullary nailing (UIIN) is a preferred technique to enhance stability while minimizing further bone and soft tissue trauma. This study aims to evaluate the functional and radiological outcomes of UIIN in open tibial shaft fractures.

Aims and Objectives

Aim

To assess the clinical and radiological outcome of undreamed intramedullary interlocking nailing in open tibial shaft fracture and to compare functional outcome with the literature available.

Objective

To observe the clinical and functional outcome (infection, nonunion, mal union, implant failure, need for secondary operation) of undreamed nailing in patients with open tibial shaft fractures.

Methods: This observational study included patients with open tibial shaft fractures treated with UIIN. Clinical and radiological assessments were performed at regular intervals to monitor union time, infection, implant-related complications, and functional outcomes using the Johner and Wruh’s criteria. Data were analyzed to determine the effectiveness of UIIN in managing these fractures.

Results: The study found that UIIN provided satisfactory fracture stabilization with an acceptable union rate. The average union time was approximately 20–24 weeks. Superficial infections were observed in some cases but were managed with antibiotics. There were minimal implant failures or deep infections. Functional outcomes were graded as excellent to good in a majority of patients.

Conclusion; UIIN is an effective treatment for open tibial shaft fractures, offering stable fixation with a low complication rate. It is a reliable technique for fracture management, especially in resource-limited settings.

Keywords: Open tibial fractures, unreamed nailing, interlocking nail, fracture healing, orthopedic trauma, infection rate.