Closed Tibial Centromedullary Nailing without Image Intensifier at Donka University Hospital: A Case Report of 15 Patients

Summary: Objectives, contributed to improving the management of leg fractures in the Orthopaedic and Traumatological Surgery Department at Donka University Hospital. Methodology: This was a prospective cross-sectional descriptive study lasting two years, from 1 January 2019 to 31 December 2020. It included all patients admitted with closed leg fractures during the study period. Results: Closed-focus centromedullary nailing of the tibia without an image intensifier was 3.71% compared with other types of osteosynthesis. The age group 32 to 42 (mean age 39, 60) was the most affected, at 46.67%, with a sex ratio of 2.75. The aetiologies were dominated by MVA (93.33%) and the average 1/3 was the elective site (73.33%). Pain and functional impotence were the main reasons for consultation, and the left leg was affected in 53.33% of cases. Kuntscher’s nail was involved in 86.67% and Grosse and Kempf’s in 13.33%. Our results were excellent in 40% of cases and good in 60%, according to the Lysholm score. Conclusion: Centromedullary nailing is the reference osteosynthesis technique for the treatment of tibial diaphyseal fractures. It is a reliable, reproducible, but demanding technique that provides effective stabilisation of the fracture site, facilitates early return to weight-bearing and is less restrictive for the patient.