Functional outcome of distal tibia fracture treated by intramedullary nailing

Abstract

Introduction: Extra-articular distal tibia fractures account for approximately 5-10% of all tibial shaft 
fractures. A significant rate of malalignment has been reported with intramedullary nailing of such 
fractures. The Expert Tibia Nail System (ETNS) is novel design aimed at reducing these problems. It 
features multi directional locking options in distal and proximal part of the nail. The benefits of using 
ETNS include load sharing, sparing of the extra osseous blood supply, and avoidance of additional soft
tissue dissection, and thereby minimizing the risk of postoperative complications. 
Methods: Our study is a prospective interventional study conducted from July 2021 to December 2022. 
This study was conducted on 45 skeletally mature patients with distal one third extra-articular fractures 
of the tibia treated with Expert Tibial Nail. Patients were evaluated clinically and radio-logically 
according to AOFAS scoring system at the interval of 4weeks, 6months and 12months.