Treatment of Distal Tibia Fractures with a Retrograde Intramedullary Tibial Nail
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Abstract
Materials and Methods: This implant was indicated for fractures of the distal tibia (within 10 cm of the tibiotalar joint), soft tissue injury on the medial aspect of the leg, injuries in the knee area, or ipsilateral knee arthroplasty.
Results: A total of 15 patients (13 men, 2 women) with a mean age of 51.5 years were treated. Four cases involved open fractures—three classified as Gustilo IIIA and one as IIIB. Fracture healing was achieved within four months postoperatively in eight cases, while the remaining seven required five months (RUST score: 12). No angular deformities were observed in the distal tibia after bone union. According to the AOFAS score, 12 patients had excellent outcomes, while three had fair results.
Conclusions: Retrograde intramedullary tibial nailing is a viable option for treating distal tibia fractures, providing rotational and axial stability comparable to conventional implants. While the initial results are promising, further studies with larger patient cohorts and longer follow-up periods are needed to confirm its long-term effectiveness.
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