Intramedullary nailing in distal tibial fracture

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Published: Nov 19, 2015
DOI: https://doi.org/10.15417/486
Keywords:
distal tibial fracture, intramedullary nailing

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Damian Arroquy
http://orcid.org/0000-0003-1045-7840
Jorge Chahla
Hospital Británico de Buenos Aires
http://orcid.org/0000-0002-9194-1150
Gustavo Gomez Rodriguez
Hospital Británico de Buenos Aires
http://orcid.org/0000-0001-6141-5830
Alberto Cid Casteulani
http://orcid.org/0000-0001-7936-2028
Santiago Svarzchtein
http://orcid.org/0000-0003-1314-169X
Diego Gomez
http://orcid.org/0000-0003-0258-6802
Cesar Pesciallo
http://orcid.org/0000-0002-4461-8465

Abstract

The aim of this study was to describe the results obtained with intramedullary nailing in patients with fracture of the distal third of the tibia.Methods The inclusion criteria of this study were skeletally mature patients with displaced fractures of the distal tibia treated with intramedullary nail with a minimum follow up of one year. Gustilo III open fractures and type C fractures of the AO classification (complete articular Stroke) were excluded. The sample comprised 35 patients remained. The follow-up was 29.2 months. We evaluated the time of consolidation, malunion and complications. The functional results were described according to the AOFAS score. Results Of the 35 patients with fracture of the distal third of the tibia all of them presented fracture healing. The average time to union was 17.2 weeks (range: 11-26). Of the total sample, 5 patients had delayed union, requiring dynamic nail on average at 12 weeks. The malunion was present in 4 (11.4%) patients. We found no  difference (p = 0.201) in the time to union between fractures associated with fractures of the fibula treated (13sem) or not (17sem). The AOFAS score was 86 points. Conclusion Intramedullary nailing with multiple distal locks like a good alternative treatment for distal tibia fractures AO type A or B, with low complication rate and a high rate of consolidation.

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How to Cite
Arroquy, D., Chahla, J., Gomez Rodriguez, G., Cid Casteulani, A., Svarzchtein, S., Gomez, D., & Pesciallo, C. (2015). Intramedullary nailing in distal tibial fracture. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(4), 266-273. https://doi.org/10.15417/486
Issue
Vol 80 No 4 (2015)
Section
Clinical Research
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Author Biography

Jorge Chahla, Hospital Británico de Buenos Aires

Médico residente.

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