Abstract

Background: Extra-articular proximal tibial fractures accounts for 5 to 11% of all tibial shaft fractures. Intramedullary fixation of these fractures is associated with malalignment because of displacing muscular forces acting on proximal fragment, capacious metaphyseal area and inaccurate entry point. The aim of this study is to evaluate the functional outcome of extra-articular fractures of proximal tibia treated with antegrade closed interlock intramedullary nailing supplemented with blocking k wires. Method: We studied prospectively 21 patients with proximal tibial fractures between June 2013 and June 2016 in Dept of orthopaedics, Govt Med College, Latur. Patients were admitted and treated in the form of antegrade closed interlock intramedullary nailing. Karlstrom Olerud scoring system was used for the assessment of functional outcome. Results: There were 15 males and 6 females in our study. According to AO classification, fracture patterns were classifies as 42 A (n=8), 42B(n=8), and 42 C(n=5).Karlstrom Olerud scoring system was used for the assessment. According to this scoring system, results were judged as Excellent in 11 (52.4%), Good in 7(33.3%), Fair in 3(14.3%) and Poor in none of our patients. Conclusion: Intramedullary nailing offers functional and mechanically reliable method for fractures of proximal tibia if done with proper understanding of possible difficulties that may encounter intraoperatively, proper understanding of anatomy and muscular forces and relevant surgical techniques.

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