Oog Jin Shon; Sung Min Chung

doi:10.12671/jkfs.2007.20.1.13

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Original Article
Interlocking Intramedullary Nail in Distal Tibia Fracture: Oog Jin Shon, M.D., Sung Min Chung, M.D.; Journal of the Korean Fracture Society 2007;20(1):13-18.
DOI: https://doi.org/10.12671/jkfs.2007.20.1.13
Published online: June 14, 2016

Department of Orthopaedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.

Address reprint requests to: Oog Jin Shon, M.D. Department of Orthopaedic Surgery, Yeungnam University Hospital, 317-1, Daemyeong-dong, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3645. Fax: 82-53-628-4020, min1913@hanmail.net

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the effectivity of interlocking intramedullary nailing for distal tibia fracture and prognostic factor to bone healing.
Materials and Methods
From April 2000 to June 2005, 21 cases who had distal tibia fracture were treated by interlocking intramedullary nail were analyzed. The duration of follow-up was more than 1 year. We evaluated clinical results by IOWA ANKLE rating system and union time by simple X-ray. Furthermore, we estimated prognostic factor to union time.
Results
The bone union was achieved at average 18.5 weeks. At the last follow-up, there was no non-union and infection. Average IOWA ANKLE rating score was 91.3 point. The union time was delayed in open and segmental fracture at initial fracture. And severe soft tissue injury in open fracture revealed bad result.
Conclusion
We concluded that interlocking intramedullary nail is effective method for treatment of the distal tibial fractures. And, adequate soft tissue management is important to bone healing and clinical outcome.
Key words: Distal tibia, Interlocking intramedullary nail, Open fracture

REFERENCES

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Fig. 1

(A) The preoperative radiograph of a 71-year-old male, who had a type II open distal tibiofibular fracture three month ago, shows external fixator applied state. During the external fixation, antibiotic therapy and skin graft operation were done. The wound was not infected and skin was completely covered.

(B) The postoperative radiograph shows a relatively satisfactory reduction of the tibia after remove internal fixation with interlocking intramedullary nail and bone graft.

(C) The postoperative 1 year radiograph shows good union state of fracture site without complication (union time 20 weeks, IOWA score 90 point, full recovery to prior job).

Table 1

Fracture type

Figure & Data

REFERENCES

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Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
Journal of Korean Foot and Ankle Society.2015; 19(3): 86. CrossRef

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Interlocking Intramedullary Nail in Distal Tibia Fracture

J Korean Fract Soc. 2007;20(1):13-18. Published online January 31, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.1.13

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Figure

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Interlocking Intramedullary Nail in Distal Tibia Fracture

Fig. 1 (A) The preoperative radiograph of a 71-year-old male, who had a type II open distal tibiofibular fracture three month ago, shows external fixator applied state. During the external fixation, antibiotic therapy and skin graft operation were done. The wound was not infected and skin was completely covered. (B) The postoperative radiograph shows a relatively satisfactory reduction of the tibia after remove internal fixation with interlocking intramedullary nail and bone graft. (C) The postoperative 1 year radiograph shows good union state of fracture site without complication (union time 20 weeks, IOWA score 90 point, full recovery to prior job).

Fig. 1

Interlocking Intramedullary Nail in Distal Tibia Fracture

Table 1

Fracture type

Table 1 Fracture type