Functional outcome of extrarticular distal tibia fractures treated by Intramedullary nailing

Sribalaji Prabhu, T (2016) Functional outcome of extrarticular distal tibia fractures treated by Intramedullary nailing. Masters thesis, Christian Medical College, Vellore.

[img]
Preview
Text
220201116sribalajiprabhu.pdf

Download (4MB) | Preview

Abstract

AIM AND OBJECTIVE: In this study we aimed to analyse the functional outcome of extrarticular distal tibia fractures treated by intramedullary nailing. Our objective was to study the functional outcome using the American Orthopaedic Foot and Ankle Society Score and Olerud and Molander score, to assess whether these patients achieved consistent union and when they returned to work. We also assessed the correlation between the clinical and radiological scores of these patients and documented the prevalence of malunion and minor complications associated with this type of treatment. METHODS: A Retrospective observational study with prospective followup was performed on patients treated with intramedullary nailing for extrarticular distal tibia fractures during the period from January 2011 to August 2014 in Christian Medical College, Orthopaedics Unit 3.On followup, patients were assessed clinically by two examiners. Radiological parameters were recorded with anteroposterior and lateral view of the limb. Radiological and functional scores like the American Orthopaedic Foot and Ankle Society Score and Olerud and Molander Scores were calculated using appropriate patient questionnaires. RESULTS: Functional and radiological scores were analysed statistically using SPSS 16.0 version statistical software. Patients with increased valgus malalignment had a delay in fracture healing compared to those with acceptable alignment. The number of patients with valgus malignment more than acceptable criteria were 9. Results also revealed that there was no significant correlation between fibula fixation and use of Poller screws with fracture union. The average time to radiological union was 19.88 weeks. The average time taken to return to work was 29.68 weeks. 91.6% of patients had returned to their work .62.5% patients have returned to their previous jobs without any difficulty. The mean AOFAS score for both male and females was 88.23 and mean Olerud score was 81.25. The analysis revealed poor scores for females compared to males. CONCLUSION: Intramedullary nailing in distal tibia fractures achieved consistent union and resulted in earlier return to work. But the rate of complications in terms of malalignment is still higher. This indicated the need for more prospective trials before concluding intramedullary nailing as a definitive indication for extrarticular distal tibia fractures.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Distal Tibia, Extrarticular fractures ; Malalignment ; Intramedullary Nailing ; Poller Screws.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 21 Sep 2017 03:20
Last Modified: 21 Sep 2017 03:20
URI: http://repository-tnmgrmu.ac.in/id/eprint/3227

Actions (login required)

View Item View Item