Saudi Journal of Sports Medicine

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 15  |  Issue : 3  |  Page : 238--243

Interlocking nail and Ender俟Q製 nail in management of diaphyseal fracture of tibia in a rural population of a developing country


Soumya Ghosh1, Brajesh Kumar Sirdar1, Arunima Chaudhuri2, Soma Datta3, Pradip Kumar Ghosh1, Ahkilesh Kumar1 
1 Department of Orthopedics, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
2 Department of Physiology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
3 Department of Pathology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India

Correspondence Address:
Arunima Chaudhuri
Krishnasayar South, Borehat, Burdwan - 713 102, West Bengal
India

Introduction: Intramedullary nail fixation has become the standard of treatment for tibial shaft fractures. Aims: The aim was to compare the results of the interlocking nail with Ender俟Q製 nail, which are less expensive in our country for diaphyseal fracture of the tibia. Materials and Methods: This prospective pilot project was conducted on 30 patients after taking institutional ethical clearance and consent of the subjects in a time period of 1-year. Fifteen patients were treated with intramedullary nailing (Group I) in the tertiary care hospital while 15 with Ender俟Q製 nail (Group II) in a rural hospital (with the lack of modern operative facilities). Results: The skeletal injury was classified according to AO/OTA classification. The majority of the patients were operated in 2 nd week of injury in our study. Average time taken for Ender俟Q製 nail was 41.33 min and the average time for interlocking nail was 74 min, and the difference was highly significant (P < 0.01). The mean c-arm shot needed 18.66 and 49.00 for Ender俟Q製 nail and interlocking nail, respectively; which was highly significant (P < 0.01). The majority of Ender nail group were allowed partial weight-bearing after 6 th weeks postoperatively while in interlocking nail group it could be allowed as early as 3 weeks. The majority of cases shows sign of clinical union in 8-12 th week in the interlocking group (%) and 13-16 th week in Ender俟Q製 nail group. About 60.00% cases in Ender group and 86.66% cases in interlocking nail group had excellent results. Conclusion: Interlocking nails should be the first implant of choice to operate tibial diaphyseal fractures and the use Ender俟Q製 nails should be done with caution in selected low-demand patients with suitable fracture patterns having financial constraints as well.


How to cite this article:
Ghosh S, Sirdar BK, Chaudhuri A, Datta S, Ghosh PK, Kumar A. Interlocking nail and Ender's nail in management of diaphyseal fracture of tibia in a rural population of a developing country.Saudi J Sports Med 2015;15:238-243


How to cite this URL:
Ghosh S, Sirdar BK, Chaudhuri A, Datta S, Ghosh PK, Kumar A. Interlocking nail and Ender's nail in management of diaphyseal fracture of tibia in a rural population of a developing country. Saudi J Sports Med [serial online] 2015 [cited 2020 Aug 13 ];15:238-243
Available from: http://www.sjosm.org/article.asp?issn=1319-6308;year=2015;volume=15;issue=3;spage=238;epage=243;aulast=Ghosh;type=0