Distal tibial fractures are common fractures, representing 7-9% of lower extremity fractures. These fractures occur by high energy mechanism like road traffic accidents or by low energy mechanism such as rotational strain. Intramedullary nailing provides consistent union & early return to work. We performed this study to evaluate the functional outcome of distal tibia fractures managed with intramedullary nailing.
Type of study- Prospective & observational study.
Material & Methods: 30 cases of distal 1/3rdtibial fractures of OTA type A1,A2,A3 were treated using locked intramedullary nailing and were assessed for functional & radiological outcome by johner & wruhs criteria. studied from Jan. 2019 to April 2021 in Department of Orthopaedics, Sri Aurobindo Medical College & PGI, Indore.
Results: A Total of 30 patients with mean age of 40.90 ± 13.51 were included in the study in which male predominated females with high incidence due to RTA. Union was seen in all patients in a mean duration of 13.50 weeks (range 9 to 18 weeks). 24 patients (80%) had excellent and 6 patients (20%) had good & none of patient had poor outcome.
Conclusion: Distal 1/3rd tibia fractures managed with intramedullary nailing provides satisfactory fracture reduction, less damage to soft tissue integrity & allows early mobilisation & excellent to good functional outcome
Impact Factor
2022: 6.012
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