J Korean Fract Soc.  2003 Jul;16(3):348-355. 10.12671/jksf.2003.16.3.348.

Treatment of Distal Tibial Fractures by Interlocking Intramedullary Nailing

• Kim JR
• Lee HS
• Choi MK
• Lee KB
• Park JH
• Lee JM

• KMID: 1999359
• DOI: http://doi.org/10.12671/jksf.2003.16.3.348

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.

Keyword

Tibia; Distal fracture; Interlocking intramedullary nailing

MeSH Terms

Ankle
Classification
Congenital Abnormalities
Follow-Up Studies
Fracture Fixation, Intramedullary*
Humans
Tibia
Tibial Fractures*