Results Of Compound Diaphyseal Tibial Fractures Treated By Unreamed Nail

Compound fractures of tibia are one of the commonest fractures seen in clinical practice. Traditionally their treatment involved the application of external fixator and then definitive surgery once the wound has healed. This prospective study of 47 patients was undertaken to evaluate the results of unreamed interlocking nailing in such fractures. They were followed up for an average of 14 months. All the fractures united at an average of 24 weeks and there were no major complications. In our study17 cases (36.7%) had excellent results, 19cases (40.4%) had good results, 11 cases (23.4%) had fair results and none of the cases had poor results as per criteria laid down by Johner and Wruhs (1982) [15]. Our study does suggest that unreamed interlocking nailing is a good method of primary internal fixation of compound (grade I to IIIB) fractures of tibia.