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Subject Area

Orthopedic Surgery

Article Type

Original Study

Abstract

Objective In this series, we will assess the expert tibial nails (ETN) in treating distal tibial metaphyseal fractures and their effectiveness as an implant in these fractures. Background Therapy of distal tibial fractures in adults without articular extension is difficult due to its anatomical features of their minimal soft-tissue covering, poor supply of blood, and closeness to the ankle joint. Internal fixation and open reduction result in revascularized fracture fragments with soft tissue and skin complications. Conventional nails have limited interlocking options. ETN offers an alternative for these fractures with multilocking options and higher stability. The aim of this research was to determine the effectiveness of the ETN in the management of distal tibial fissures. Materials and methods We established prospective research of distal tibial fractures treated with ETN. It included 26 individuals with AO type 4.3, subtypes A1, A2, and A3. The result was determined by fracture alignment, fracture union, rate of secondary surgery, and range of motion in the knee and ankle, and postoperative adverse outcomes within 1 year. Results The mean time required to repair a fracture was 16.89 weeks. About 7.69% of cases had a delayed union. Reoperations in the form of dynamization occurred at a rate of 7.69%. Primary malalignment was seen in 7.69% of instances. Most patients had normal-to-exceptional range of motion in their knees and ankles. One patient was infected superficially. Conclusion ETN offers strong internal fixation, early range of motion in the knee and ankle, angular stability, and hence a favorable clinical and radiographic result.

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