Functional Outcome of Expert Tibial Intramedulary Nailing for Metaphyseal Distal One Third Fractures of Tibia
Asian Journal of Orthopaedic Research,
Introduction: In Orthopaedics fractures of tibia remains the commonest and most challenging fractures to be treated. Various modes of treatment are described for the fixation of fractures of lower third shaft tibia. When the aim is stable fixation with early restoration of function without use of plaster, intramedullary nailing offers an attractive treatment option. Newer expeet tibia nail design have been developed for the osteosynthesis of fractures of lower third tibia. The main purpose of the study was to study functional outcomes of expert interlocking nai for management of lower third tibia shaft fractures.
Materials and Methods: This study was conducted on 20 skeletally mature patients with metaphyseal distal one third fractures of the tibia treated with Expert Tibial Nail which is having advanced proximal and distal locking options.
Results: All the patients on follow up were evaluated on the basis of Johner R, Wruhs SD criteria and were graded as excellent, good, fair and poor as per the score obtained based on deformity and moment at ankle joint. Out of 20 patients 15 (75%) patients had excellent results as they had full function as pretrauma without any residual symptoms. 3 patients (15%) had good results, 1 (5%) patients had fair results and 1 (5%) patient had poor results.
Conclusion: On the basis of the above obtained observations it seems that expert interlocking tibia nail appears to be a ideal implant for the management of lower third shaft tibia fractures.
- Tibia fracture
- tibial intramedulary nailing
How to Cite
Thomas A. Russel J, Charles Taylor, David G, Lavelle. Fractures of the tibia and fibula. In: Rockwood and Green’s Fractures in Adults, 3rd Edition. J.B. Lipincott Company, Philadelphia. 1991;2:1915-82.
Sarimiento A, Sharpe FE, Embram ZE, Normand P, Shakwiler J. Factors influencing the outcome of closed tibial fractures treated with functional bracing. Clin Orthop. 1995;315:8-24.
Lawrence BB, Kenneth DJ. Treatment of tibial fractures by reaming and intramedullary nailing. J Bone Joint Surg. 1986;68A:877-86.
Wiss DA. Flexible medullary nailing of acute tibial shaft fractures. Clin Orthop. 1986;212:122-32.
Hamja KN, Dunkerley GE, Murray MM. Fractures of tibia. A report of fifty patients treated by intramedullary nailing. J Bone Joint Surg. 1971;53B:6.
Gregory P, Sanders R. The treatment of closed unstable tibial shaft fractures with unreamed interlocking nails. Clin Orthop. 1995;315:48-63.
Duwelius PJ, Schmidt AH, Rubinstein RA, Green JM. Non reamed interlocked intramedullary tibial nailing. Clin Orthop. 1995;315:104-13.
Kretteck C, Schandelmaier P, Tscherne H. Nonreamed interlocking nailing of closed tibial fractures with severe soft tissue injury. Clin Orthop. 1995;315: 34-47.
Blachut PA, O’bren PJ, Meek RN, Brockhryse HM. Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. J Bone Joint Surg (Am). 1997; 79A:640-46.
Abstract View: 983 times
PDF Download: 1262 times