Experience in the management of distal third tibia and fibula fractures by interlocking intramedullary nail in Community Based Medical College Hospital

M. Islam, Md Tufael Hossain, M. Uddin, M. R. Chowdhury, M. Hasan
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Abstract

Objective: To determine the effect of interlocking intramedullary nail in treatment of tibia and fibula fractures and analyze its efficacy by clinical and radiological parameters. Methods: From August 2015 to September 2017, in Community Based Medical College Hospital, Orthopedics department, 15 patients with tibia and fibula fractures were managed by open reduction and interlocking nail and each case was followed up for 7 months. The cases were assessed clinically and by radiology. Results: There were 13 males and 2 females involving 10 right legs and 5 left legs. Ages of patients ranged from 17 years to 60 years with mean age 36.13 years and standard deviation 11.813 years. The location of fractures was 1 upper, 2 middle and 12 lower. There was association of 1 fracture femur right side. Conclusion: Use of interlocking intramedullary nail in management of tibia and fibula fractures was good in majority of cases. CBMJ 2021 January: vol. 10 no. 02 P: 91-97
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联锁髓内钉治疗第三胫腓骨远端骨折的体会
目的:探讨交锁髓内钉治疗胫腓骨骨折的疗效,并结合临床和影像学资料分析其疗效。方法:2015年8月至2017年9月,在社区医学院附属医院骨科对15例胫腓骨骨折患者行切开复位联锁钉治疗,每例随访7个月。对病例进行临床和放射学评估。结果:男性13例,女性2例,右腿10例,左腿5例。患者年龄17 ~ 60岁,平均年龄36.13岁,标准差11.813岁。骨折位置上端1例,中端2例,下端12例。右侧合并1例股骨骨折。结论:交锁髓内钉治疗胫腓骨骨折效果良好。中华医学杂志2021年1月第10卷第10期[02:91 . 97
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