Arivazhagan, K (2022) Functional and Radiological Outcome of Proximal 1/3rd Tibial Shaft Fractures Managed by Conventional Interlocking Intramedullary Nail by Modified Technique. Masters thesis, Tirunelveli Medical College, Tirunelveli.
|
Text
2202 08 22 Arivazhagan K.pdf Download (6MB) | Preview |
Abstract
INTRODUCTION: Tibia is the most commonly fractured long bone. Proximal tibia fractures are more prone for Malunion and Non Union.Unlike the intramedullary fixation of diaphyseal fractures of tibia, nailing of proximal tibial metaphyseal fractures with a short proximal fragment is associated with increase in mal-alignment both in sagittal and coronal plane. The goals of treatment are to obtain a well-aligned fracture, pain-free weight bearing, and functional range of motion of the knee and ankle joints. AIM : To describe the functional and radiological outcome of the patients with proximal third tibial shaft fractures managed by conventional interlocking intramedullary nail by modified technique. MATERIALS AND METHODS: 20 Patients with Proximal third tibial shaft fractures admitted in Department of Orthopaedics, Tirunelveli Medical College Hospital. Preoperative and postoperative xrays for the assessment of Radiological outcome. Modified Karlstrom Olerud scoring system used for the assessment of functional outcome. Patients were followed up every month for a period of 6 months SURGICAL TECHNIQUE: High level entry, More lateral entry, Over reaming of the entry site, Burying the proximal end of the nail in to the medullary cavity ,Free hand locking of Proximal screw after removing the Jig, after locking the Distal Anteroposterior screw first. RESULTS: The results were evaluated through the following parameters: Union/ Malunion /Non union, Knee and ankle Range of motions, Pain during Walking, Climbing stairs. Out of 20 patients 19 patients achieved union without any malalignment and achieved complete range of motion in knee joint without any pain during weight bearing. 1 patient had deep infection with non union. 1 patient had superficial infection. Out of 20 patients, 60% of patients had excellent outcome, 15% had good, 10% had satisfactory and 5% had poor outcome. CONCLUSION: Proximal third tibial fractures are difficult to manage by traditional nailing technique. Intramedullary nailing of Proximal third tibia fractures by this technique is effective in achieving alignment. It is also cost effective and minimally invasive. It gives excellent results both functionally and radiologically with less complications.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221912302 |
| Subjects: | MEDICAL > Orthopaedics > MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 24 Apr 2021 13:09 |
| Last Modified: | 03 Mar 2024 07:39 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15146 |
Actions (login required)
 |
View Item |
