Abstract:

BACKGROUND: Because of the special nature of anatomical tibial, there are many therapies after fractures and each has its own advantages and disadvantages. There is no an ideal method of internal fixation.
OBJECTIVE: To study the clinical efficacy of rotating arm self-locking intramedullary nail (RSIN) fixation on tibial fractures.
METHODS: Twenty-nine patients with tibial fractures were selected from Qianxinan Orthopedic Hospital of Guizhou Province, including 26 cases of closed fracture, and 3 cases of open fracture (all GustiloI type). RSIN fixation was used. X-ray observation was performed for fracture healing and complications.
RESULTS AND CONCLUSION: All the 29 patients were followed up for 12-24 months. Incision healing reached to phase Ⅰ. After 6 to 18 months, X-ray film showed that fracture line disappeared, callus grew well. Complications such as wound infection, traumatic synovitis, nail loose and nonunion did not occur after surgery. Knee-ankle-joint flexion and extension function and walking were normal. According to Johnr-Wruh standard, among the 29 cases, 11 cases were excellent, 16 cases were good, and 2 cases were middle and the good rate was 93.3%. The results suggest that RSIN fixation is reliable, simple to operate, and has a high rate of fracture healing, which is the ideal method to treat tibial fractures.