Evaluating Outcome of Distal Tibia and Fibula Fractures Treated with Intra Medullary Nailing
Ali Torkaman1, Arash Aris2 and Hamidreza Yazdi3*1Department of Orthopedics , Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
2Resident Of Orthopaedic Surgery, Firoozgar Hospital,School of Medicine ,Iran University of Medical Sciences, Tehran, Iran.
3Associated Professor, Department of Knee Surgery, Firoozgar Hospital, Iran University of Medical Science , Tehran, Iran.
*Corresponding Author E-mail: dr.yazdi88@yahoo.com
Abstract: Choice of best treatment in tibiofibular fractures should be based on many affecting factors such as age, wound contamination’s, presence of associated conditions and availability of stabilization devices. This study is aimed to evaluating outcome of distal tibia and fibula fractures treated with intra medullary nailing in Firoozgar hospital during 2012- 2014.In this cross- sectional study which was conducted in Firoozgar hospital in 2012- 2014, 40 patients with distal tibiofibular fractures who was candidate for IM nailing were evaluated. Operation was done by intramedullary nailing method. Patients were followed up at 2 weeks, 1, 3, 6 and 12 month after surgery. Radiographic evaluation of union in tibia with anteroposterior and lateral view, as well as complications was assessed in each visit. Data were enterd to SPSS and were analyzed.Fifty patients with mean age of 34.67 (SD= 12.98) years (46 (92%) male and 4 (8%) female) were evaluated. Four (10%) patients remained non- union from whom 3 (7.5%) underwent ORIF treatment. Mean time of complete union achievement was 6.34 (SD= 3.54) months. Fourteen malunion were seen in this study that 1 (7.14%) was varus (7º) and 13 (92.85%) were valgus. No cases of deep infection, nerve injury or compartment syndrome were seen.We conclude that reamed, locked IM. nailing is a good method for achieving union in distal tibial fractures. High rate of union, low complication and deformity correction was seen with this method.
Keywords: Distal; Tibiofibular Fractures; Intra Medullary Nailing; Outcome Back to TOC