Popis: |
— Tibial fracture is quite common. There are various modalities to manage tibial fracture, one of them is intra-medullary nailing. This study was conducted on 100 tibial fracture patients undergoing intramedullary nailing. After operation they were followed at 3 months, 6 months , 9 months and 12 months. For 12 month followup, 90 patients were available. So 90 patients were used to determine optimal ratio of intramedullary nail diameter to tibial canal diameter at the isthmus that leads to reliable and timely healing in tibial shaft fractures. It can be concluded from this study that non union rate was significantly less in the patients having optimal ratio(0.8 to 0.99mm) of tibia nail to medullary cavity width at the isthmus than the other group having ratio less than 0.8mm or more than 0.99mm. So optimal ratio of tibia nail to medullary cavity width at the isthmus was found 0.8 mm to 0.99mm. |