Outcome assessment of intra medullary nailing in proximal tibial fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Purpose: Intra-medullary nailing is now considered as a gold standard in the treatment of diaphyseal fractures of tibia. But scientific literatures do not give consistent results on this. The present study is being undertaken to evaluate the results of intramedullary fixation of fractures of proximal tibia with or without intra¬articular extension Methods: Forty cases of proximal tibia fractures with or without intra¬articular extension treated by intra- medullary nail in the department of Orthopaedics. over a period of five years were studied. Only the cases which could be followed up for at least four months or till fracture union were considered for final evaluation. Results: Average age of our patients was 45 years, most were males (85%). Majority of the fractures were closed (52.5%) having of intra-articular extension (65%). All the closed fractures united at an average of 3.1 months and compound fractures united at an average of 3.9 months. Nonunion was 3.3% and 9.9% infection was seen in open fractures. Average range of motion at knee joint was 111.5°. Two cases had flexion of less than 90°. Conclusions: In the literature, no studies have been reported with nailing in the metaphyseal fractures of tibia. The results obtained with nailing in the metaphyseal fracture of tibia gives good results with acceptable complication rate and has proved superior to other methods available today.
Authors and Affiliations
Aarti Dewan, NK Aggarwal
Keywords
Related Articles
- EP ID EP487029
- DOI 10.22271/ortho.2018.v4.i2k.109
- Views 133
- Downloads 0
A prospective study of functional outcome in intraraticular lower end of humerus fracture treated with dual plating
Introduction: Lower end of humerus fractures are uncommon and intra-articular in adults, often involve both the medial and lateral columns. Treatment of these fractures is difficult and involves the risk of unfavourable...
A study on functional and radiological outcome in precontoured locking plate fixation for displaced lateral end of clavicle fractures
Materials and methods: In this prospective study 20 patients (15 male, 5 female) with a displaced lateral end of clavicle fractures (Neer type II) were evaluated with a mean follow –up of 11 months. Analysis included fun...
Evaluation of outcome of titanium elastic nailing (TEN) versus hip spica cast in the treatment of femoral shaft fractures in children
Femoral shaft fractures are among the most common pediatric injury and treatment of them carries a lot of controversies. The aim of this study was to compare the outcome of titanium elastic nailing versus hip spica cast...
Study of effectiveness of interlocking nail in management of fracture shaft humerus
Background & Objectives: Operative management of humeral shaftfractures can be with plate osteosynthesis or with intramedullary nailing. As the intramedullary nails can be introduced in a closed manner, they preserve the...
C2 dens fracture with closed cervical migration of a 6cm humeral fragment
Case: A 39-year-old woman, with bipolar disorder, suffered an eight-meter fall, resulting in dens and proximal and distal humeral fractures associated with migration of a 6cm humerus fragment to the left cervical region....