Abstract

• PURPOSE: To analyze the result of treatment for distal tibial fractures by interlocking intramedullary nailing. MATERIALS AND METHODS: Eighteen patients who underwent interlocking intramedullary nailing for distal tibial fracture were followed up for more than one year. We analyzed the fracture configuration, presence of fibular fracture, angular deformity and bone union by follow-up radiograph, and complications. The functional results were assessed by Baird's ankle scoring system. RESULTS: According to Robinson classification, there were 4 type I fractures, 12 type IIA fractures, and 2 type IIB fractures. All cases were combined with fibular fracture. The mean union period of 18 cases were 21.9 weeks. There were three complications with 3 cases of valgus deformity. In functional outcome according to Baird's ankle scoring system, 15 patients (83%) showed satisfactory results. CONCLUSION: We concluded that interlocking intramedullary nailing is effective method for the treatment of the distal tibial fractures. However, to avoid valgus deformity of the distal tibia when combined distal fibular fracture, fibular reduction and rigid fixation should be needed.
• Key words: Tibia, Distal fracture, Interlocking intramedullary nailing

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Citations to this article as recorded by  

• Clinical Outcomes of the Tibia Segmental Fractures Treated by Intramedullary Nail Using Various Reduction Techniques
  Oog-Jin Shon, Ji-Hoon Shin, Chul-Wung Ha
  Journal of the Korean Fracture Society.2013; 26(1): 50.     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