REAMED INTERLOCKING INTRAMEDULLARY NAILING OF OPEN FRACTURES OF THE TIBIA

One hundred twelve open tibial fractures were treated by reamed interl ocking nailing in 108 patients, There were 31 (28%) Grade I fractures, 38 (34%) Grade II, 23 Grade IIIA (21%), and 20 (18%) Grade IIIB fract ures, Early amputation was performed in 2 (10%) Grade IIIB fractures f or severe crushing injuries, Compartment syndrome complicated 8 (7%) f ractures, Mean time to union was 29 weeks for Grade I fractures, 32 we eks for Grade II, 34 weeks for Grade IIIA, and 39 weeks for Grade IIIB , Nonunion complicated 9 (8%) fractures: 1 (3%) Grade I fracture, 2 (5 %) Grade II fractures, 3 (13%) Grade IIIA fractures, and 3 (17%) Grade IIIB fractures, Deep infection complicated 4 Grade II fractures (10%) and 2 (11%) Grade IIIB fractures, Reamed locking intramedullary naili ng is a safe and effective technique for management of open tibial fra ctures.