European Journal of Molecular & Clinical Medicine

Abstract

Objectives: The aim of the current work was to assess the clinical and radiological functional outcomes of expert tibial intramedullary nail in treatment of proximal tibia metaphyseal tibia fractures in adult. Methods: This prospective study included a total of 14 patients in GANDHI MEDICAL COLLEGE from fractures between 20-65 years age group. Patients were operated by closed reduction and internal fixation with expert interlocking tibial nail and followed up for average 24 months from December 2017 to November 2019. Results: All patients underwent full history taking, Clinical examination and Radiographic views were taken. [10 males and 4 females]. 9 patients (64.2 %) had excellent final result, 3 patients (21.42 %) had good final result, 1 patient (7.14 %) had fair final result, and 1 patient (7.14%) had poor final result. Conclusion: It could be concluded that intramedullary fixation with expert interlocking tibial nail is a safe and effective method for the treatment of proximal tibia metaphyseal tibia fractures. Multiple reduction aids as percutaneous clamps, blocking screws/wires help in obtaining and maintaining reduction. The nail design allows the distal or proximal segment to be controlled through placement of multiple locking screws within a small distance from the articular surface. The alignment can be well maintained despite the short metaphyseal segment. Expert nail showed excellent and good results in this study.