SHORT-TERM OUTCOMES OF TREATMENT OF CLOSED TIBIAL SHAFT FRACTURES MANAGED WITH LOCKED INTRAMEDULLARY NAILING AT 108 MILITARY CENTRAL HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the short-term outcomes of treatment outcomes of closed tibial shaft fractures managed with locked intramedullary nailing at 108 Military Central Hospital.
Subjects and Methods: A cross-sectional descriptive study was conducted on 44 patients with closed tibial shaft fractures treated using SIGN intramedullary nails at 108 Military Central Hospital from January 2023 to May 2025.
Results: Closed reduction was achieved in 88.64% of patients, while open reduction was required in 11.36%. A total of 43 out of 44 patients had both proximal and distal locking screws inserted. Three locking screws were used in 75.00% of cases, and four screws in 4.55%. A central screw was utilized in most cases (93.18%). Primary wound healing occurred in 90.91% of surgical incisions and 97.73% of locking sites. All patients had good SIGN nail positioning without joint involvement. Postoperative limb alignment was satisfactory (straight axis) in 84.09% of cases. According to the Larson–Böstman criteria, 84.09% of patients had excellent outcomes, with no cases of fair or poor results. Operative time and surgical technique factors did not significantly affect short-term treatment outcomes (p > 0.05).
Conclusion: Most patients achieved primary wound healing and satisfactory limb alignment after intramedullary nailing. The majority of patients demonstrated good treatment outcomes
Article Details
Keywords
Closed tibial shaft fracture, intramedullary nail, 108 Military Central Hospital
References
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