Surgical treatment of tibial shaft fractures with intramedullary nails 2017-2020

Abstract

Introduction: tibia diaphyseal fractures are among the most common fractures that occur in long bones, intramedullary nailing is accepted as a surgical choice since it maintains the vascularization of the bone, which is very sensitive to pseudoarthrosis and infection. Aim: To describe the clinical epidemiological characteristics of patients with diaphyseal fracture of the tibia that underwent surgery with intramedullary nailing at the Celia Sanchez Hospital. Method: an observational-descriptive-retrospective study was carried out, in 24 patients who received surgical treatment with intramedullary nailing in the Orthopedics and Traumatology service, in the period from 2017-2020, with a diagnosis of tibia diaphyseal fracture. The variables were: age, sex, origin, causes, fracture trace, complications and incorporation to social life. Results: the predominant age group was 31 and 40 years old (34 %), and male sex (63 %). Most patients were from urban areas (66.7 %); traffic accidents accounted for 84 %, the fracture tract of fractures was predominantly transverse (55 %), the presence of patients without complications (67 %) and the incorporation to the social life of patients in a period fewer than six months (75 %). Conclusions: most of the operated patients did not present complications, so they were able to incorporate into society in a short period, making this method an excellent surgical alternative for this traumatic condition.

Keywords

• fractura de tibia
• fractura diafisaria
• clavo intramedular
• ortopedia
• traumatología
• procedimientos ortopédicos