الفهرس 
TibiaOnly 14 pages are availabe for public view
 |  | from | 122 |  |  |
| | | from | 122 | | |
Abstract
Fora very long period, open reduction and internal fixation with a plate was the preferred therapy for proximal tibia fractures. Recently, proximal tibia fractures are often treated with expert tibial nail since it has numerous distal and proximal interlocking alternatives.At the distal end, there are four locking choices and five at the proximal end in different lines. As well as it is a less invasive procedure, wound-related problems and post-surgery care duration than plating. Expert tibial nail style helps to achieve stable fixation with interlocking screws.In this study, the effectiveness of expert tibial nail in treating proximal tibia fractures was examined.
Aim of the study:to evaluate the postoperative radiological and functional results of using expert tibial nail in the treatment of proximal tibia fractures.
Patients: In this study, twenty patients (fourteen males and six females) withupper thirdtibiafracturewereoperated by expert interlocking tibialnail at universal health insurance hospitals of Port Said City.
Methods:Between August 2021 and August 2022, we prospectively analyzed our cases of proximal third tibia fractures in patients aged 18 to 60 who operatedwith expert interlocking tibial nail and observed for at least six months. Each patient was evaluated in term of postoperative radiological and functional outcomes.
Results: Patients had no complications were 13 (65%) however, 4 (20%) of the patients had anterior knee pain, 1 (5%) of the patients had infection, 1 (5%) of the patients had DVT and 1 (5%) of the patients had delayed union. Patients were evaluated radiologically for fracture union and alignment, as well as clinically for the knee & ankle joints’ range of motion, knee pain, and atrophy of the muscle utilizing the Modified Klemm and Borner Scoring System. The excellent patients results were 13 (65%) and 5 (25%) of patients were good. While only one patient was fair, and one patient was poor.
Conclusion: For the management of proximal third tibia fractures, expert tibia nailing is a good therapeutic optionbecause it provides adequate fixation and good angular stability, which enables early rehabilitation and union with remarkable functional success and little complications.. In cases where the surrounding soft tissue is affected, it is also a safer treatment option.