European Journal of Molecular & Clinical Medicine

Abstract

Background and objective: Distal tibial metaphyseal fractures are difficult to manage and are challenging to most orthopaedic surgeons. The mechanism of injury and their proximity to ankle joint makes surgical treatment complicated. Most fractures at this site need to be fixed because non-operative treatment results in loss of reduction and subsequent malunion, non-union. Currently, surgeons have variety of options and implants for the treatment of these fractures.
Materials and methods: Adult patients with fractures of lower third tibia admitted to Vijayanagar Institute of Medical Sciences, Ballari will be taken for this study after obtaining their informed, valid written consent. This is a prospective study from November 2018 to November 2020
Results: Thirty patients were followed an average of 12 months (range 6- 20 months) with mean fracture healing time was 16.2 and 18.4 weeks for closed fracture and G-A type 1 fracture respectively. One patient had Non-Union.
Conclusion: Considering the ease of performing the technique and the decreased operative time, Intramedullary nailing with Dynamic Interlocking nailing is safe and effective procedure for Distal 1/3^rd tibia fractures. And is based on principles of limited exposure and indirect reduction methods, which avoids major soft tissue complications and shortens the length of the patient’s stay in the hospital. As the implants are in dynamic mode leads to early union of fracture.