Abstract: Background: Various treatment options exist for distal tibia fractures, such as external fixators, intramedullary nails, and internal plate fixation. Recently, there has been a growing inclination towards minimally invasive approaches with the expectation of better results. The objective of this study was to evaluate the efficacy of intramedullary nails, specifically elastic titanium nails (ETN), in the treatment of distal tibial metaphyseal fractures.
Methods: A total of 30 patients with extra-articular distal tibial fractures, who sought treatment between March 2021 and March 2023, underwent intervention with ETN and were subsequently monitored for a minimum duration of 2 years. The functional outcomes were evaluated using the AOFAS score.
Results: The patients had an average age of 46.6 years, with 18 males and 12 females. The right side was more commonly affected. Road traffic accidents (RTA) were the most frequent cause of injury. The average time for bone union was 19 weeks, ranging from 15 to 28 weeks. Two patients experienced complications related to malunion, while three cases had infections. However, despite these complications, all patients eventually achieved bone union.
Conclusion: In conclusion, for distal tibial metaphyseal fractures without involvement of the articular surface, the utilization of intramedullary nailing with expert tibia nails provides satisfactory stability at the fracture site and contributes to expedited healing and earlier return to work.
