PURPOSE We analyzed the result of treatment for most distal extraarticular tibial fracture using interlocking intramedullary nail. MATERIALS AND METHODS From January 1999 to April 2002, 8 patients who had most distal tibial fracture were treated by interlocking intramedullary nailing. The duration of follow-up was more than 12 months. The mean age was 41.5 years old. There were 5 males and 3 females. During follow-up period, we evaluated the bone union, range of motion of knee and ankle joint and gait pattern. RESULTS The average distance from fracture line to ankle joint line was 1.1 cm. The bone union was achieved at average 18.6 weeks. At the last follow-up, there was no limited motion on knee. But at one case, ankle range of motion was limited from 5 degree extension to 35 degree flexion. There was no gait disturbance. CONCLUSION Interlocking intramedullary nailing can be recommendable and useful in the most distal tibial fractures.
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Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung Journal of Korean Foot and Ankle Society.2015; 19(3): 86. CrossRef
Interlocking Intramedullary Nail in Distal Tibia Fracture Oog Jin Shon, Sung Min Chung Journal of the Korean Fracture Society.2007; 20(1): 13. CrossRef