DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20185058

Functional and radiological outcome of expert tibia nailing in proximal tibia fractures

Rahul Kadam, Ashutosh Ajit Jadhav, Abhay Chaallani, Preetam Singh Dagar, Jehangir Malcom Pestonji

Abstract


Background: Previously treatment of choice for proximal tibia fracture was internal fixation by plate. Presently, expert tibia nail is widely used in treating proximal tibia fracture. Expert tibia nailing system has features like multi directional locking options in the distal and proximal part of the nail, in addition to the standard static and dynamic locking options present in IMIL Nail. Purpose of study is to evaluate the outcome of expert tibia nail in proximal tibia fracture.

Methods: We retrospectively, reviewed thirty patients having proximal tibia fracture with age more than 18 years treated with expert tibia nail and were followed up averagely for 12 months between May2016 to May2018. All patients were compared in terms of intraoperative and postoperative parameters and functionally assessed using the Johner and Wruchs criteria at 3 weeks, 3 months, 6 months and 12 months.

Results: Functional outcome was measured by Johner and Wruhs criteria of 30 patients showed 20 excellent, 8 good, 2 patients had fair results. Average time unprotected full weight bearing walking was 7.2 weeks. Average time taken for radiological union was 18.2 weeks.

Conclusions: Expert tibial Interlocking Nail is good treatment option for proximal tibia fracture.


Keywords


Expert tibial nail, Proximal tibial fractures, Johner and Wruhs criteria

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References


Giannoudis PV, Hinsche AF, Cohen A, Macdonald DA, Matthews SJ, Smith RM. Segmental tibial fractures: an assessment of procedures in 27 cases. Injury. 2003;34:756-62.

Burgess AR, Poka A, Brumback RJ, Flagle CL, Loeb PE, Ebraheim NA. Pedestrian tibial injuries. J Trauma. 1987;27(6):596–601.

Sharan AD, Jeshuran W, Mulligan M, McGuire K, Uhl R. Intramedullary nailing in a tibial shaft fracture with distal articularextension. Orthopaedics, 2005;28(6):571-2.

Gregory P, sanders R. The treatment of closed unstable tibial shaft fractures with unreamed interlocking nails. Clin Orthop. 1995;315:48-63.

Duwelius PJ, Schmidt AH, Rubinstein RA, Green JM. Non reamed interlocked intramedullary tibialnailing. Clin Orthop 1995;315:104-13.

Hindley CJ, Evans RA, Holt EM, Metcalfe JW. Locked intramedullary nailing for recent lower limb fractures. Injury 1990;21:239-44.

Hansen M, El Attal R, Blum J, Blauth M, Rommens PM. Intramedullary nailing of the tibia with the expert tibia nail. Oper Orthop Traumatol. 2009;21(6):620-35.

Attal R, Müller M, Hansen M, Bail H, Kirjavainen M, Hammer T, et al. Treatment of tibia fractures with the expert tibia nail. J Bone Joint Surg. 2014;91:10.

Kretteck C, Schandelmaier P, Tscherne H. Nonreamed interlocking nailing of closed tibial fractures with severe soft tissue injury. Clin Orthop. 1995;315:34-47.

Zhua DC, Liub L, Gaoa F, Lia Q, Zhanga B. Comparison of closed reduction and expert tibial nailing with open reduction and plate and screw fixation in the treatment of two segmental tibial fractures. Chinese J Traumatol. 2015;18(4):219-22.