Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

Background: The successful use of unreamed tibial nailing in patients with open tibial fractures has led some investigators to recommend this technique for closed fractures as well. Potential advantages of unreamed tibial nailing over the reamed technique include shorter operative time, less blood loss, and less disruption of the endosteal blood supply in patients with severe closed soft tissue injuries. Patients and methods: Between March 2014 and March 2015, a prospective study was done on twenty cases (15 closed and 5 type I and type II open tibial shaft fractures) were treated with UTN as their primary treatment in Kasr El-Aini Hospitals, Faculty of Medicine Cairo University. The age ranged between 20 to 53 years old with mean age 36.5 years. The interval between the injury and the surgery was 8-24 hours in open group and it was 3-7 days in closed group. Results: According to Olerud-Molander ankle score in the open group, out of 5 cases, 2 cases (40%) were considered (Excellent) and 2 cases (40%) were considered (Good) and one case (20%) was considered (Fair) and in closed group, out of 15 cases, 10 cases (66.7%) were considered (Excellent) and 5 cases (33.3%) were considered (Good). Conclusion: Utilizing unreamed tibial nailing (UTN) for closed and open tibial shaft fractures is a good method of treatment particularly those of gustilo type I and II

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