Comparison of outcome in reamed vs unreamed nailing in the treatment of tibial diaphyseal fracture

Objective: to compare the outcome (union) between reamed and unreamed nailing in tibial diaphyseal fracture (transverse). material and methods: this randomized study was carried out in the department of orthopedic surgery,nishtar hospital,multan from january 2009 to september 2009. two hundred and ten patients were divided into two groups a and b. group a patients were managed by reamed interlocking tibial nail and group b patients by unreamed interlocking nail tibia. follow up was done up to 3 months and outcome union was compared between both groups. results:- union was achieved in 80% patients of group a while 70% in group b. conclusion: our study suggests that there is no significant difference between reamed interlocking tibial nail and unreamed interlocking tibial nail. although there is trend towards improved union with reamed interlocking nailing.