J Korean Fract Soc.  2003 Apr;16(2):201-207. 10.12671/jksf.2003.16.2.201.

Intramedullary Nailing in Distal Tibial Meta-Diaphyseal Fracture

• Park KC
• Cho YA
• Kim YH
• Park TS
• Park YS
• Sung IH
• Whang KS

• KMID: 2195497
• DOI: http://doi.org/10.12671/jksf.2003.16.2.201

Abstract

PURPOSE: This study was undertaken in order to evaluate the efficiency of the closed intramedullary nailing in 18 cases of distal tibial fractures.
MATERIALS AND METHODS
From May 1999 to June 2001, eighteen patients were treated by closed intramedullary nailing for distal tibial meta-diaphyseal fracture. According to Robinson classification, there were 7 type 1 fractures, 7 type 2A fractures, 1 type 2B fractures, and 2C type fractures. The mean distance between distal end of fracture and tibial plafond was 2.6+/-1.1 cm (0~5 cm). We evaluated both clinical and radiographic parameters.
RESULTS
Plate fixation of distal fibular fracture was performed in 7 cases. Poller screw was used in 4 cases which showed malalignment after insertion of nail. The mean score was 92.5 point by Blaird ankle scoring system. All patients got the bone union at average of 20 weeks (12~40 weeks). One patient had a antecurvatum deformity of 9 degrees.
CONCLUSION
Intramedullary nailing for distal tibial fractures is one of the safe and reliable method for managing these injuries.

Keyword

Fracture; Diatal tibial mata-diaphysis; Intramedullary nailing

MeSH Terms

Ankle
Classification
Congenital Abnormalities
Fracture Fixation, Intramedullary*
Humans
Tibial Fractures