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In recent years, closed reduction and minimally invasive plating and multidirectional locked intramedullary nailing have both become widely used treatment modalities for proximal and distal tibial metaphyseal fractures. This study was performed to evaluate the functional outcome of proximal and distal metaphyseo-diaphyseal fractures of tibia in adults treated with tibia interlock nail with multiaxial locking. Materials and Methods: This randomized prospective clinical study was conducted on 30 adult patients with proximal and distal metaphyseo-diaphyseal fractures of tibia in adults at a tertiary trauma centre. Results: We had achieved excellent results in 24 (80%) of patients, good results in 5 (16.66%) of patients and satisfactory result in 1 patient (3%). Conclusions: From this study, it is our interpretation that multiaxial locked intra-medullary nail is a good option in treatment of both closed and minimally open fractures of proximal and distal metaphyseodiaphyseal fractures of tibia.

Proximal and distal metaphyseo-diaphyseal fractures of tibia in adults treated with tibia interlock nail with multiaxial locking (A Study of 30 Cases)