Early Rehabilitation with Minimal Invasive Surgery using Expert Tibia Nail (ETN) in Extraarticular Proximal Tibia Metaphyseal Fractures

Abstract

Introduction: Extraarticular proximal tibia metaphyseal fractures are very common fractures along with soft tissue injuries. Aim of this study is to evaluate effectiveness of Expert Tibia Nail (ETN) for these fractures in view of early rehabilitation, soft tissue complications, radiological union and malalignment. Materials and Methods: A prospective study of 60 patients treated with ETN for extraarticular proximal tibia metaphyseal fractures from July 2013 to July 2016 at a tertiary care centre. The commonest deformity of apex anterior and valgus angulation was addressed with modification in surgical technique. Results: The commonest mode of injury in the study was RTA (60%). Johnerand wruh’s criteria was used to assess the functional outcome of patient, according to which out of 60 patients outcome were excellent in 41(68.33%), good in 10(16.67%), fair in 4(6.67%) and poor in 5(8.33%). . Mean union time was 20.5 weeks. Nonunion and malalignment was seen in cases 5 each. Conclusion: With experience and good technique, the overall complication rates are quite low along with early weight bearing and union. It can be considered as an effective alternative technique for extraarticular proximal tibia metaphyseal fractures.