Objective To evaluate the fixation with a locking fibular intramedullary nail for treatment of extra-articular distal tibial fracture complicated with fibular fracture(AO/OTA 43A).Methods A retro-spective study was conducted to analyze the data of 31 patients who had been treated by fixation with a locking fibular intramedullary nail for extra-articular distal tibial fracture complicated with fibular fracture at Department of Orthopaedics,The 909th Hospital of Joint Logistics Support Force between January 2018 and December 2021.There were 20 males and 11 females;(41.5±15.7)years in age;AO classification of the distal tibial fractures:10 cases of type 43A1,10 cases of type 43A2,and 11 cases of type 43A3;11 open fractures and 20 closed fractures.Fracture healing,fibular alignment,tibiotalar angle,and incidence of complications were regularly followed up and recorded after surgery.At the last follow-up,the ankle joint function was assessed using the Olerud Molander ankle score(OMAS)and the ankle-hindfoot score of American Orthopaedic Foot and Ankle Society(AOFAS).Results All the 31 patients were followed up for(17.5±3.3)months after surgery.All of them achieved fine fracture union.The union time was(3.9±0.8)months for tibial fractures,and(3.6±0.9)months for fibular fractures.No internal fixation failure was observed.The last follow-up revealed the following:the fibular alignment was 1.8°±1.3° and the ankle tibiotalar angle 9.1 °±2.3°;no fibular rotation,shortening,or separation displacement happened;the OMAS score was(88.3±6.2)points,and the AOFAS ankle-hindfoot score(87.4±6.0)points.Two patients required removal of the distal locking screw of the fibular intramedullary nail due to soreness around the lateral malleolus caused by screw loosening.There were no other related com-plications.Conclusion Fixation with a locking fibular intramedullary nail is an effective treatment for extra-articular distal tibial fracture complicated with fibular fracture,demonstrating advantages of firm fixa-tion,limited complications,minimal trauma and soft tissue irritation,and good clinical efficacy.
关键词
胫骨骨折/骨折固定术/外科手术,微创性/腓骨骨折/髓内钉
Key words
Tibial fractures/Fracture fixation/Surgical procedures,minimally invasive/Fibu-lar fractures/Intramedullary nail
维普
万方数据