Evaluation of the use of expert tibia nailing in proximal tibia fractures.

Haggag, Emad Mohamed; Saqr, Yasser Mohamed; Algeretly, Mohamed Altabeiy; Fayed, Mohamed Abdelaziz

doi:10.21608/muj.2022.160439.1114

Evaluation of the use of expert tibia nailing in proximal tibia fractures.

Document Type : Research project

Authors

¹ Assistant orthopedic specialists Alzohor hospital ministry of health

² Department of Orthopaedic surgery and Traumatology, Faculty of Medicine, Port Said University, Port Said, Egypt.

³ ortopaedics and traumatology department,Faculty of medicine,Port Said university

10.21608/muj.2022.160439.1114

Abstract

Background: In the past and for long time the treatment of choice for proximal tibia fracture was open reduction and internal fixation by plate. Recently, expert tibial nail is widely used in correction of proximal tibia fractures since it has numerous distal and proximal interlocking alternatives. The efficacy of expert tibial nail in proximal tibia fractures was investigated in this study.
Aim of the study: to assess the use of expert tibial nail in the treatment of proximal tibia fractures in terms of postoperative radiological and functional outcomes.
Patients: In this study, 20 patients (14 males and 6 females) with upper third tibia fracture were operated by expert tibial nail. Methods: We prospectively reviewed our cases having proximal third tibia fracture with age from 18-60 years treated with expert tibial nail and were followed up at least for 6 months. All patients were evaluated in term of postoperative radiological and functional outcomes.
Results: Patients had no complications were 13 (65%) however, 4 (20%) of the patients had anterior knee pain, 1 (5%) of the patients had infection, 1 (5%) of the patients had DVT and 1 (5%) of the patients had delayed union. Patients were evaluated utilising the modified Klemm and Borner grading system. 13 (65%) of patients were excellent, and 5 (25%) of patients were good. While only one patient was fair, and one patient was poor.
Conclusion: Expert tibia nailing is a good treatment modality for the management of proximal third tibia fractures, which provides good angular stability.

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