J Korean Fract Soc.  2003 Jul;16(3):356-362. 10.12671/jksf.2003.16.3.356.

Interlocking Intramedullary Nailing for Treating Most Distal Tibial Fracture

• Park IH
• Song KW
• Shin SI
• Lee JY
• Lee SY
• Kim TH
• Cha JH

• KMID: 1999360
• DOI: http://doi.org/10.12671/jksf.2003.16.3.356

Abstract

PURPOSE: We analyzed the result of treatment for most distal extraarticular tibial fracture using interlocking intramedullary nail.
MATERIALS AND METHODS
From January 1999 to April 2002, 8 patients who had most distal tibial fracture were treated by interlocking intramedullary nailing. The duration of follow-up was more than 12 months. The mean age was 41.5 years old. There were 5 males and 3 females. During follow-up period, we evaluated the bone union, range of motion of knee and ankle joint and gait pattern.
RESULTS
The average distance from fracture line to ankle joint line was 1.1 cm. The bone union was achieved at average 18.6 weeks. At the last follow-up, there was no limited motion on knee. But at one case, ankle range of motion was limited from 5 degree extension to 35 degree flexion. There was no gait disturbance.
CONCLUSION
Interlocking intramedullary nailing can be recommendable and useful in the most distal tibial fractures.

Keyword

Tibia; Most distal fracture; Interlocking intramedullary nail

MeSH Terms

Ankle
Ankle Joint
Female
Follow-Up Studies
Fracture Fixation, Intramedullary*
Gait
Humans
Knee
Male
Range of Motion, Articular
Tibia
Tibial Fractures*