Outcome of expert tibia nail in proximal and segmental tibia fractures-a prospective study

Abstract

Intramedullary nailing in proximal tibia fractures is a challenging surgical technique with malalignment reported as high as 84%. The pull from the extensor mechanism, the hamstrings, wide medullary spacemakes nailing difficult in these fractures. Our prospective study includes 20 cases of proximal and segmental tibia fractures treated by expert tibia nailing and followed for a period of one year. The analysis was done using klemm and borner criteria and oxford knee scoring system. Excellent resul; Its were obtained in twelve patients good in four and fair n three patients. One patient lost follow up. Intramedullary nailing leads to excellent outcomes when performed for appropriate indications and with adjuvant techniques in proximal and segmental tibial fractures.