Interlocked intramedullary nailing of long bones

Intramedullary interlocking nailing is the recommended procedure of fixation of long bones fracture. This type of fixation allow the patient to walk independently in few days time, but unlikely there are only few centers in our country which are doing this practice. In Mansoor Orthopedic Hospital and Sandeman Civil Hospital Quetta we started this type of fixation from November 2001 and we have done 15 femoral [13 closed and 2 open GII] and 15 tibial [11 closed and 4 open GI and GII]. Interlocking nails up till now. Our early results revealed 0% infection rate, breakage of nail in one case and bending of one distal locking screw. Inspite this in both cases fracture healed without any surgical intervention. Patient had nearly full range of movements of both knee and hip joint. We recommend close Intramedullary in interlocking nailing is an excellent technique to treat long bone fracture regarding good healing minimum complication shorter hospital stay and early functional rehabilitation

Intra articular fractures of distal humerus in adults: evaluation of results after internal fixation

Intra articular fractures of distal humerus, because of their rarity, displacement and comminution, present a formidable problem to Orthopaedic Surgeons in their management. Fifty adult patients with intra articular fractures of distal humerus were treated by open reduction and internal fixation. Transolecranon approach was found to be satisfactory in treating such injuries. Overall results both functionally and cosmetically were good to excellent in seventy three percent of patients. A low profile of complications was encountered. For better results, exact and stable reduction and internal fixation is recommended