Functional Outcome of Expert Tibial Intramedulary Nailing for Metaphyseal Distal One Third Fractures of Tibia

Abstract

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.