International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2018, Volume 4 Issue 2

Outcome assessment of intra medullary nailing in proximal tibial fractures

Author(s): Aarti Dewan and NK Aggarwal
Abstract: Purpose: Intra-medullary nailing is now considered as a gold standard in the treatment of diaphyseal fractures of tibia. But scientific literatures do not give consistent results on this. The present study is being undertaken to evaluate the results of intramedullary fixation of fractures of proximal tibia with or without intra¬articular extension
Methods: Forty cases of proximal tibia fractures with or without intra¬articular extension treated by intra- medullary nail in the department of Orthopaedics. over a period of five years were studied. Only the cases which could be followed up for at least four months or till fracture union were considered for final evaluation.
Results: Average age of our patients was 45 years, most were males (85%). Majority of the fractures were closed (52.5%) having of intra-articular extension (65%). All the closed fractures united at an average of 3.1 months and compound fractures united at an average of 3.9 months. Nonunion was 3.3% and 9.9% infection was seen in open fractures. Average range of motion at knee joint was 111.5°. Two cases had flexion of less than 90°.
Conclusions: In the literature, no studies have been reported with nailing in the metaphyseal fractures of tibia. The results obtained with nailing in the metaphyseal fracture of tibia gives good results with acceptable complication rate and has proved superior to other methods available today.
Pages: 750-754  |  723 Views  23 Downloads
How to cite this article:
Aarti Dewan, NK Aggarwal. Outcome assessment of intra medullary nailing in proximal tibial fractures. Int J Orthop Sci 2018;4(2):750-754. DOI: 10.22271/ortho.2018.v4.i2k.109
International Journal of Orthopaedics Sciences