The functional outcome following the use of expert tibial nails for proximal 1/3^rd and distal 1/3^rd tibial metaphyseal fractures in adults

Abstract

There is no universally accepted method of management of proximal and distal tibial fractures till date. Various modalities of treatment of fracture shaft of tibia are conservative gentle manipulation and use of short leg or long leg cast, open reduction and internal fixation with plates and screws, external fixation and intramedullary fixation with flexible nails (ender pins) and interlocking intramedullary nails with or without reaming. In total number of 25 patients admitted, there were 17 males (68%) and 8 females (32%). There were 20 closed fractures (80%) and 5 open fracture (20%) (GA type I-3, GA type II-2). Functional results were graded according to the criteria by Klemm and Borner (1986). 92% of patients achieved good or excellent results, fair results were obtained in one patient and in one patient, the functional results were poor.