Document Type : RESEARCH PAPER
Authors
1
ORTHOPAEDICS ,ASSOCIATE PROFESSOR, GITAM DEEMED TO BE UNIVERSITY (GIMSR), VISAKHAPATNAM,ANDHRAPRADESH, INDIA
2
Orthopaedics,Associate Professor,GITAM DEEMED TO BE UNIVERSITY, GIMSR, Visakhapatnam,India
3
Orthopaedics, Professor and HOD,GITAM DEEMED TO BE UNIVERSITY, GIMSR,Visakhapatnam
4
Orthopaedics,Post graduate,GITAM DEEMED TO BE UNIVERSITY, GIMSR, Visakhapatnam, India
5
Community Medicine, Associate Professor, Gayatri Vidya parishad Institute of Health Care and Medical Technology, Visakhapatnam,India
10.22038/abjs.2025.88106.3991
Abstract
Abstract
Objectives:
Extra-articular distal tibial fractures (EADTFs) are commonly associated with fibular fractures in approximately 85% of cases and present unique challenges due to their unstable nature and propensity for complications such as malunion, delayed union, non-union, and soft tissue compromise. This study aimed to evaluate the functional and radiological outcomes of intramedullary interlocking nailing (IMN) in the management of EADTFs.
Methods:
This prospective observational study was conducted on 30 patients diagnosed with extra-articular distal tibial fractures, who underwent intramedullary nailing at a tertiary care center. Radiographic assessments included time to union, loss of reduction, and angular malalignment. Diagnostic criteria for consistent bony union, non-union, delayed union, and malunion were applied. Functional outcomes were measured using the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system during follow-up evaluations.
Results:
Of the 30 patients included, the mean age was 41.6 ± 15.6 years, with a male predominance (73.3%). Based on the AOFAS score, 26.7% of patients achieved an excellent outcome, 56.7% had good outcomes, and 16.6% had fair outcomes. No patient recorded a poor outcome. Radiologically, the mean time to union was 18.5 ± 2.2 weeks. Malunion occurred in 6.7% of cases, while there were no instances of delayed union, non-union, or infection reported.
Conclusion:
Intramedullary interlocking nailing is a reliable and effective treatment modality for extra-articular distal tibial fractures, offering favorable functional outcomes and a low complication rate. The technique demonstrates consistent union rates and minimal risk of infection or non-union, reinforcing its role as a preferred management strategy in appropriately selected cases.
Level of Evidence: IV (Therapeutic)
Keywords
Main Subjects
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