Treatment of diaphyseal fractures of tibia with intramedullary interlocking nail


  • B. S. Vijaya Kumar Vydehi Institute of Medical Science and Research Centre, Bengaluru, Karnataka



Tibia, Diaphyseal fractures, Intramedullary interlocking nail


Background: The tibia, or shinbone, is the most commonly fractured long bone in the body. A tibial shaft fracture occurs along the length of the bone, below the knee and above the ankle. It typically takes a major force to cause this type of broken leg. Motor vehicle collisions, for example, are a common cause of tibial shaft fractures. In many tibia fractures, the smaller bone in the lower leg (fibula) is broken as well. The objective was to study fracture healing and union rates with closed intra-medullary interlocking nailing.

Methods: Patients of both sexes belonging to adult age group presenting with fracture tibia to Orthopedic Department, Vydehi Institute of Medical Sciences, of are admitted from January 2015 to December 2015.

Results: In the present study maximum number of patients belongs to 18 to 27 years age group (18 cases) followed by 28 to 37 years age group (15 cases), maximum number of patients sustained tibia fracture due to RTA (38 cases) followed by fall (12 cases), maximum number of patients sustained simple tibia fracture (32 cases), followed by type 2 compound tibia fracture (13 cases) and 36 patients had excellent functional results and 8 patients had good functional outcome, while only 4 patients had fair functional outcome.

Conclusions: IM rods are secured within the bone by screws both above and below the fracture. The metal screws and the rod can be removed if they cause problems, but can also be left in place for life. Tibial rodding provides excellent fixation and alignment of the bones.


Bhandari M, Adili A, Leone J, Lachowski RJ, Kwok DC. Early v/s delayed operative management of closed tibial fractures. CORR. 1999;368:230-9.

Toivanen JA, Väistö O, Kannus P, Latvala K, Honkonen SE. Anterior knee pain after intramedullary nailing of fractures of tibial shaft. J Bone Joint Surg. 2002;84:580-5.

Schmidt AH, Finkemeier CG, Tornetta P. Treatment of closed tibial fractures. J Bone Joint Surg. 2003;52:607-22.

Joshi D, Ahmed A, Krishna C, Lal Y. Unreamed interlocking nailing in open fractures of tibia. J Orthop Surg (Hong Kong). 2004;12(2):216-21.

Larsen LB, Madsen JE, Hoinesspr, Ovre S. Should insertion of intra medullary nails of tibial fractures be with or without reaming? A prospective randomized study with 3.8 years follow-up. J Orthop Trauma. 2004;18(3):144-9.

Vaisto O, Toivaren J, Kannus P, Jarvinan M. Anterior knee pain after intramedullary nailing of fractures of tibial shaft: An eight-year follow-up of a prospective, randomized study comparing two different nail-insertion techniques. J Trauma. 2008;64(6):1511-6.

Pathik V, Ajay D, Rakesh G. Study of management of tibial diaphyseal fractures with interlocking nail. National J Clin Orthop. 2017;1(2):24-33.

Naveen C, Somashekarappa T, Ajit S, Gaurav S, Arjun R. Interlocking Nail in Diaphyseal Fracture of Tibia –A Clinical Study. Int J Contemp Med Res. 2016;3(6):1678-81.

Juan MCS, José LOR, Alejandro SD. Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients. Trauma Surg Acute Care Open. 2017;2(1):e000029.

Byron EC, George EP, Nick CS, Christos GD, Anastasios GC. Reamed interlocking intramedullary nailing for the treatment of tibial diaphyseal fractures and aseptic nonunions. Can we expect an optimum result? Strategies Trauma Limb Reconstr. 2009;4(2):89–94.






Original Research Articles