Abstract

Background: The tibia, or shinbone, is the common fracture long bone in body. There are two option includes, reamed and unreamed of surgical treatment of fractures. Reamed nail has some advantage but they significantly harmful the endosteal circulation. Unreamed nail surplus the endosteal circulation but provide a less stable fixation. Afterward, because of ability to lock the nail proximally and distally, closed intramedullary nailing turned into an acknowledged treatment for closed shaft cracks during the ninth decade. Aim: The main objective is to treat the tibia fractures by implanting the Intramedullary nailing system (Interlocking cannulated tibia nail and Expert tibia nail) manufactured by Auxein Medical Private Limited, Sonipat, India. Material and Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture. Results: The outcomes of clinical treatment were obtained in our study; No pain (92%), Mild pain (8%) after 2 year follow up. The follow up of patients were taken on 4-week, 1-year, 2-year according to VAS score. Paired t test was performed for statistical data analysis using Minitab and values of p<.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending, corrosion etc. Conclusion: Our outcomes with interlocking cannulated and Expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes.

Highlights

  • The seriousness of the crack typically relies upon the amount of force that caused the break and has mechanical points of interest with its bigger potential distances across and bigger surface-territory contact between the bone and nail [1,2,3]

  • It has been concluded that intramedullary tibia nailing system is best method for treatment of tibiafracture with good results and outcomes

  • The Expert Tibial Nail System (ETNS) and Interlocking cannulated tibia nail, an intramedullary nailing framework is shown for breaks in the tibial shaft just as for metaphyseal and certain intraarticular cracks of the tibial head and the pilon fracture

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Summary

Introduction

The seriousness of the crack typically relies upon the amount of force that caused the break and has mechanical points of interest with its bigger potential distances across and bigger surface-territory contact between the bone and nail [1,2,3]. The ordinary advancement in intramedullary nailing of tibial fractures was the introduction ofmodern implants like the Expert Tibial Nail and Interlocking cannulated tibia nail. In these new implants the interlocking bolts can be introduced just below the tibia plateau, enabling the surgeon to treat very proximal tibial fractures with intramedullary nailing. The Expert Tibial Nail System (ETNS) and Interlocking cannulated tibia nail, an intramedullary nailing framework is shown for breaks in the tibial shaft just as for metaphyseal and certain intraarticular cracks of the tibial head and the pilon fracture. Because of ability to lock the nail proximally and distally, closed intramedullary nailing turned into an acknowledged treatment for closed shaft cracks during the ninth decade

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Conclusion

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