Abstract
We evaluated eight fractures in the distal part of the tibia which had been treated with closed, locked intramedullary nailing without the use of traction table.
There were four females and four males, of mean age 47 years (16 to 76). Fracture types due to AO (ASIF) classification were devided into A1, two; A2, one; A3, one; B1, one; and B2, three. Two Gustilo type II open fractures were included in Type B2 fractures, which were treated by the same method in the secondary stage. There were no delayed unions or infection so Functional recovery of the ankle joints was good to excellent in all patients. Moreover, all received normal tibial alignment, except for one patient in whom a slight 5-degree varus tibia deformity remained.
Based on these results, we recommend closed, locked intramedullary nailing for distal part fractures of the tibia.
