Fixation of Distal Tibial Fractures by Intramedullary Nail with Multidirectional Distal Locking Screws | ||
| The Medical Journal of Cairo University | ||
| Article 86, Volume 87, September, September 2019, Pages 3435-3442 PDF (549.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2019.65640 | ||
| Authors | ||
| MOHAMED E. TAHA, M.Sc.; ALI M. EMRAN, M.D.; KAMAL M. HAHEZ, M.D.; NABIL O. GHARBO, M.D. | ||
| The Department of Orthopaedic Surgery, Faculty of Medicine, Tanta University | ||
| Abstract | ||
| Abstract Background: Fractures of the distal tibia involve the diaphyseo-metaphyseal area of the bone, and may be either extra-articular or intrarticular. Several methods have been described for the treatment of these fractures, including casting, external and internal fixation. Aim of Study: The aim of the work was to evaluate the results of fixation of distal tibial fractures by intramedullary nail with multidirectional distal locking screws (Expert tibial nail). Methods: This study included 21 patients with distal tibial fractures treated between October 2017 and October 2018 (including follow-up period) at Tanta University Hospital with intramedullary nail with multidirectional distal locking screws (Expert tibial nail). Clinical and radiological data were analyzed. Results: According to Tenny & Wiss scoring systems for distal tibial fractures the clinical results were graded as excellent in six patients (28.6%), good in nine patients (38.1 %), fair in four patients (19%) & poor in two patients (9.5%).The excellent and good results were considered as satisfactory results while the unsatisfactory included the fair and the poor results. Thus, satisfactory results were found in 15 patients (71.43%), and the unsatisfactory results were found in six patients (28.57%). Conclusion: Treatment of distal tibial fractures using intramedullary nail with multidirectional distal locking screws (Expert nail) is a safe and accepted method alternative to conventional nail and plating technique. It provides additional biomechanical stability than the conventional nails and plate osteosynthesis. | ||
| Keywords | ||
| Distal tibial fractures; Intramedullary nail; Multidirectional distal locking screws | ||
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