Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

EVALUATION OF THE TREATMENT OUTCOMES OF CLOSED TIBIAL SHAFT FRACTURES USING LOCKED INTRAMEDULLARY NAILING UNDER FLUOROSCOPIC GUIDANCE

Nguyen Thanh Long1,2, Pham Ngoc Tuan3,4, Trinh Dinh Thanh5,6, Nguyen Minh Tuan7,8
1 Ky Anh Town General Hospital, Ha Tinh Province
2 Bệnh viện Đa Khoa thị xã Kỳ Anh
3 Hoa Binh General Hospital, Phu Tho Province
4 Bệnh viện đa khoa Hoà Bình-Phú Thọ
5 Hai Phong University of Medicine and Pharmacy
6 Trường Đại học Y Dược Hải Phòng
7 Ha Tinh Provincial General Hospital, Ha Tinh Province
8 Bệnh viện đa khoa tỉnh Hà Tĩnh
DOI: 10.52163/yhc.v67iCD7.5625
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Keywords
tibial shaft fracture, locked intramedullary nailing, fluoroscopic guidance, treatment outcomes.
Abstract

Objective: To evaluate the treatment outcomes of closed tibial shaft fractures using locked intramedullary nailing under fluoroscopic guidance at Ha Tinh Provincial General Hospital.

Subjects and Methods: A descriptive study was conducted on 80 patients with closed tibial shaft fractures treated with locked intramedullary nailing under fluoroscopic guidance at Ha Tinh Provincial General Hospital. The study variables included epidemiological characteristics, injury characteristics, surgical features, time to bone union, bone union outcomes, functional outcomes according to the Johner–Wruhs criteria, and postoperative complications.

Results: Most patients were over 50 years old (47.5%), with males accounting for 56.3%. The main causes of injury were occupational accidents (42.5%) and traffic accidents (33.8%). Fractures most commonly occurred at the middle third of the tibial shaft (42.5%), and most fractures were comminuted with three or more fragments (65.0%). The mean time to bone union was 22 ± 7.3 weeks. The rate of good bone union was 77.5%, and no cases of nonunion were recorded. Excellent and good functional outcomes accounted for 96.3% according to the Johner–Wruhs criteria. Most patients had no postoperative complications (67.5%).

Conclusion: Locked intramedullary nailing under fluoroscopic guidance is an effective and safe method for treating closed tibial shaft fractures, providing a high bone union rate, good functional recovery, and a low complication rate.

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