Functional and radiological outcome of distal tibia fractures managed with expert tibia nail: a prospective clinical study

Abstract

Leg bone fractures come at the top because it is actively involved in locomotive system with distal tibia fractures having second highest incidence due to its subcutaneous location with very less muscle mass around it. Such fractures are mostly comminuted fractures with extensive soft tissue injuries. These are the fractures which extend within approximately 4 cm. from the tibial plafond. As these fractures occur in proximity of weight bearing surface of ankle joint, a slight maladjustment may lead to permanent disability. Non operative treatment/ open reduction and internal fixation with medial or anterolateral plating of these fractures is associated with multiple post-operative complications like infection, wound dehiscence and non-union. Operative treatment allows proper length and anatomical alignment of the limb, early mobilization and hence excellent final results. The present study of 25 cases was done to evaluate the clinical and radiological functional outcome of extra-articular AO type A simple and compound (Gustilo type I and type II) fractures of distal tibia managed with expert tibial nail and complications (post-operative) if any of patients of either sex, same demographic profile admitted through emergency in a tertiary institute of Punjab. Clinico-radiologically results were assessed using Johner and Wruh’s criteria. Authors got excellent results in 88%, good to fair in 08% of the cases. Expert tibia nail provides good mechanical and rotational stability due to multiple, multidirectional distal locking options available in distal tibia fractures.

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