Functional Outcome of Expert Tibial Intramedulary Nailing For Metaphyseal And Diaphyseal Fractures of Tibia

Abstract

Introduction : In the field of trauma surgery, fractures of the leg remain the injuries with a higher complication rate. The optimum treatment for fractures of the tibia remains controversial. When the aim is stable fixation with early restoration of function without use of plaster, intramedullary nailing offers an attractive treatment option.Newer tibial nail designs has widened the range of indications for medullary osteosynthesis to include almost every type of fracture. This study was done to evaluate the outcome of use of expert tibial nail in metaphyseal and diaphyseal fractures of tibia. Materials and methods:This study was conducted on 20 skeletally mature patients with metaphyseal or diaphyseal fractures of the tibia treated with Expert Tibial Nail which is having advanced proximal and distal locking options. Results: Functional results were evaluated as Excellent, Good, Fair, and Poor on the basis of Johner R, Wruhs SD criteria. Out of 20 patients 14 (70%) patients had excellent results as they had full function as pretrauma without any residual symptoms. 3 patients (15%) had good results, 2 (10%) patients had fair results and 1 (5%) patient had poor results. Conclusion: Our results with expert tibial interlocking nailing are encouraging and demonstrate the benefits of new nailing system. We recommend the use of expert tibial nail in metaphyseal and diaphyseal fractures of the tibia.