Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Distal tibial fractures accounts for less than 7% of all tibial fractures and less than 10%of all lower extremity fractures. Preoperative planning of distal third tibial fractures is of much importance since operative management is challenging in this injury. Fracture pattern, soft tissue injury, and bone quality critically influence the selection of fixation technique. Numerous techniques have been developed for management of distal third tibial fractures which includes conservative management, hybrid external fixation, minimally invasive percutaneous plate osteosynthesis and intra medullary nailing. The Intra medullary Interlocking nailing of distal tibial fractures allows load sharing, it does not damage the soft tissue attachments and thereby it preserves periosteal blood supply, in addition Intra medullary Interlocking nailing also preserve the fracture hematoma. Intra medullary Interlocking nailing allows early mobilization and return to function in most of the individuals, which is the need for the hour. After getting institutional human ethical committee and research committee approval, This Prospective Study was conducted among 60 patients in Sree Mookambika Institute of Medical Sciences, Kulasekharam, who were diagnosed to have extra articular distal tibia fractures. We included patients with age >18 years, extra‐articular distal tibia fractures, Closed fracture and Type 1 and 2 Gustilo and Anderson type fracture, AO Type 43 A1, A2 and A3 fractures Acute fractures (<2 weeks old). We have done Closed Reduction and Internal Fixation with Intra medullary Interlocking Nailing (IMILN) for those patients. The patients were regularly followed up for a period of 6 months in regular intervals at 4 , 8 , 12 and 24 weeks. Functional outcome was measured using Modified Klemn and Borner scoring system. Based on the score the patients were graded as Excellent, Good, Fair and Poor. According to this score, in IMILN Excellent was observed in 14 patients, good outcome in 30, Fair in 10 and Poor outcome in 6 patients We observed IMILN has 44 patients of Excellent to Good results (73%). Distal tibial fractures can be effectively treated by Intra medullary Nailing with minimal soft tissue injury providing good to excellent results. Very minimal complications were encountered in our study. There were 2 cases of non‐union was seen. In our present study we IMILN there was 87% of good to excellent result according to the scoring system used. Though Interlocking Intra Medullary Nailing allows early weight bearing in patients, malunion was more frequently seen, which affects the functional outcome.
How to cite this article:
N. Kattu Bava, Madhan Kumar, Zakir Hussain Mohamed, K.C. Mathew and Mohamed Sheriff. Functional Outcome of Intramedulary Interlocking Nailing in Distal Tibia Fractures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.91.96
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.91.96