ASSESSMENT OF FUNCTIONAL OUTCOME IN DISTAL BOTH LEG BONE FRACTURES – INTERNAL FIXATION FOR FIBULA AND TIBIAL INTERLOCKING NAILING

Description

Abstract (English)

Introduction: Tibial fractures are common fractures of distal leg accounting 20-30% of its
fractures. Fractures in the distal third of Both Bones Leg when treated by conservative line of
management, here are high chances of malunions ankle stiffness due to prolonged
immobilization, delayed union, valgus or varus mal-alignment of tibia. The present study was
designed to assess the functional outcome of internal fixation of both bone leg fractures
Material and Methods: Twenty-one cases with distal both bone leg fractures above 21 years
of age with distal both bone leg fractures undergoing fibular fixation with tens nailing and
tibia nailing were included. Postoperative follow up was done at the end of 6th week, 3rd
month, 6th month and 12th month and participants were assessed clinically and radiologically
for the status of the fractures.
Results: Road traffic accidents were common cause of injury in 80.95%, followed by fall on
floor in 14.29%. Ankle range of motion by Merchant and Deitz rating showed excellent
outcome in 81%, good in 14% and fair in 5% of cases. The final functional outcome by
Johner and Wruh’s criteria showed that the outcome was excellent in 85.71% and good in
14.28% of cases.
Conclusion: For optimal ankle function and tibial and fibular anatomical restoration, the
fixation of the fibula by closed tens nailing, followed by tibia nailing, is a successful
procedure.