Abstract: Background & Objectives:
The tibia is the second longest bone of the body, located at medial side of the leg. Among all the fractures in the body, tibia is the single largest bone that is commonly involved in injuries. Owing to the increase in vehicular accidents and industrial mishaps, high velocity trauma produces tibial fractures in increasing numbers. By its location and by being subcutaneous in most of its length tibia fractures tend to be open very commonly. Due to its precarious blood supply and scanty soft tissue coverage orthopedic surgeons around the world have been fighting infections and union problems. Extra-articular proximal tibial fractures account for 5–11% of all tibial shaft fractures. This study was performed to analyze nailing for proximal tibia extra-articular fractures.
Methods: In this study we studied results of expert tibia nail for extra articular proximal 1/3rd tibia fractures. For this we have taken a sample size of 20 patients. The study period was from February 2017 and to September 2018. Patients were evaluated clinically and radiologically according to modified KLEMM and Borner scoring at the interval of 6 weeks, 3 months, 6 months, 1 year and at yearly intervals. The patients were followed up in the outpatient department. Patient follow up was for a minimum of 6 months to a maximum of 24 months (2 years).
Results: There were 10 male and 10 female patients. The male to female ratio of our study population was 1.2:1 having slight male predominance. In our study, patients were in the age group of 20-80 years with the mean age being 38 years. 10 patients out of 20 belonged to 21-40 year age group. Both right and left side were equally involved. Road traffic accident (75%) was most common mechanism of injury. According to Modified KLEMM and Borner Scoring System 75% patients had excellent results and rest 25% had good results in nailing.
Conclusion: From this study, after counting the score with the KLEMM and Borner classification and counting the average and SD value of all sample size and after getting the p value, it has been concluded that expert nailing is better for extra articular proximal tibia fracture with good results and better functional outcome.