Outcome of Reamed Intramedullary Interlocking Nail in the Management of Tibial Shaft Fractures

Abstract

Tibial shaft fractures are among the most common long bone fractures, often resulting from high-energy trauma. Reamed intramedullary interlocking nailing (IMILN) is a widely accepted treatment modality, offering stable fixation and promoting early mobilization. This prospective study evaluated the functional and radiological outcomes of 60 patients with tibial shaft fractures managed using reamed IMILN. Patients were followed up for 12 months postoperatively, with assessments of fracture union time, complications, and functional recovery using the Modified Karlström-Olerud scoring system. The mean fracture union time was 18 weeks, with excellent-to-good functional outcomes observed in 86.7% of patients. Complications included delayed union (10%) and infection (5%). The results affirm the efficacy and safety of reamed IMILN in achieving favorable outcomes for tibial shaft fractures.

Keywords: Tibial shaft fracture, Reamed intramedullary nailing, Interlocking nail, Fracture union, Functional outcome