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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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THE EARLY OUTCOME OF SURGICAL TREATMENT OF CLOSED TIBIAL DIAPHYSEAL FRACTURES BY CLOSED REAMED INTRAMEDULLARY LOCKED NAIL
Dr. Rabah Abdulla AL-Ebadi, F.I.C.M.S (Ortho)*, Dr. Firas Abdul Kareem Sabri Al Iblesh M.B.Ch.B, Dr. Yasir Isam Mohammed, M.B.Ch.B and Dr. Nashwan Abdil-khalik Thannon, M.B.Ch.B.
Background: Tibial diaphyseal fractures are one of the most common long bone fractures encountered by orthopedic surgeons, treated by different modalities, the use of intramedullary nailing which has gained acceptance but it still a challenging procedure. Objective: To find out the early outcome of treating tibial diaphyseal fractures with intramedullary nail system and assess the advantages and complications associated with the use of tibial locked nailing. Patients and Methods: A total of 50 patients with closed tibial diaphyseal fracture were treated with closed intramedullary interlocking nail at Al-Jumhoori teaching hospital from January 2019 to June 2020, with regular follow-up for 6 months. The patients were evaluated clinically and radiologically for fracture union and complications, functional outcome was assessed using Johner and Wruhs criteria. Results: Of the 50 patients, 35(70%) were males and 15(30%) were females. The mean age of the patients was (38.02±14.28). Average time to union was 20.52 weeks Wound infection was developed in 3(6%) of patients. Most common complication was anterior knee pain which was found in 13(26%) of cases. The overall functional outcome was excellent and satisfactory in 80 % of cases. Conclusion: Intramedullary interlocking nail is a reliable and effective treatment for most closed tibial diaphyseal fractures with good biological stabilization, short term outcome and minimal complications.[Full Text Article]