Analysis of extra articular proximal third tibial fractures treated with interlocked intramedullary nailing

Abstract

Background: Fractures of the proximal third of tibia shaft have historically higher malunion rates than those of the midshaft. These fractures have been notoriously difficult to treat. With the advent of deepened understanding of the surrounding anatomy, several techniques have been developed to help maintain proper alignment without early failure or malunion. Aims and Objectives: To study the results of intramedullary interlocking nail fixation in proximal third tibial fractures. Method: A total of 20 patients were treated with intramedullary interlocking nail fixation and were followed up from 3 months to 3 years and their results were assessed according to Modified Klemm and Borner scoring system. Results: According to Modified Klemm and Borner scoring system, we had 80% excellent to fair results and 20% poor results due to delayed union or non-union at the fracture site. Conclusion: Interlocked intramedullary nailing of proximal third tibial fractures is an accepted modality of treatment. Stable and adequate intraoperative anatomical reduction is the key to early union and yields superior functional outcome.