Title: Treatment for Lower One Third Fractures of Tibia by Interlocking Nailing
Authors: Suresh Reddy.S, Obulapathy.D.
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.08
Abstract
Distal tibial fractures remain one of the most substantial therapeutic challenges for Orthopaedic surgeons. Though these fractures can be managed conservatively, operative techniques have been largely superseded for displaced or irreducible fractures and fractures with intra articular extension. However locked intra medullary nail and minimally invasive bridge plate are the two commonly used surgical techniques. The objective of this study was to evaluate the outcome of inter locking nailing (ILN) for treatment of lower one third fracture tibia. 24 adult patients with closed fracture of lower one third tibia without intra articular extension were included in this study and were subjected to inter locking nailing procedure. The follow up period ranged from 6 weeks to 1 year. Johner and Wruch’s criteria was used for evaluation. Results were excellent in 66.6%, good in 25%, fair in 8.3%. This study concludes that closed inter locking nailing was an appropriate method as it showed optimal results and less complications in management of fracture lower one third of tibia.
Keywords- Lower one third tibia, closed fracture, intra articular extension, interlocking nailing (ILN).
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