Management of acute tibial diaphyseal fractures with interlocking nailing using unreamed technique

In this study, three types of nails were used [Richards Russel and Taylor, Biomet-Klemm and Schellman and Orthofix] in treating acute diaphyseal tibial fractures in 22 adult patients. Unreamed interlocking nails have some advantages; they cause a less thermal and mechanical impairment of cortical and medullary cavity circulation. Union rate was 100%, which was superior to the reported results with the reaming techniques. The statistical results revealed that there was a significant relation between the age of the patient and the time needed for fracture union. The Orthofix nail with its distal aiming device reduced both the surgical and irradiation exposure times