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Non-articular fractures of the proximal third of the tibia account for 5 to 11% of tibial shaft injuries. Intramedullary nailing for metaphyseal tibial fractures with a shortproximal fragment (unlikediaphyseal tibial fractures) is associated with an increased risk of frontal and sagittalplane malalignment. This can be solved by the use of intramedullary interlocking nail in combination with blocking screws or Poller screws. A series of 20 cases of proximal diaphysis-metaphyseal fracture of tibia treated with intramedullary interlocking nail in combination with poller screw and were followed up regularly till 6months and evaluated using Modified Karlstrom-Olerud Score. Most patients had Excellent score at 6th month follow-up. Our study suggests intramedullary interlocking nail in combination with poller screwis an effective management of proximal diaphysio-metaphyseal fracture of tibia.

international journal of orthopaedics sciences

A short-term functional outcome of proximal diaphysio-metaphyseal fracture of tibia treated with intramedullary interlocking nail in combination with poller screw