Treatment Of Distal Tibial Fracture By Tibial Expert Nail

Background: The tibial expert nail is currently considered an efficient method for managing complex tibial fractures, including distal tibial metadiaphyseal fractures. Compared to conventional intramedullary nails, this advanced system offers benefits in addressing both proximal and distal tibial fracture (DTF). This study aimed to assess the clinical and radiological outcomes of using the tibial expert nail for treating DTFs. Methods: This work was performed on 20 cases with DTF managed by expert tibial nail fixation and (Type A) extra- articular metaphysical fractures based on the Arbeit gemeinschaft fur Osteosynthesefragen classification of DTF. Results: Pain was significantly different postoperative, after 1 month, after 3 months, after 6months and after 1 year (P value =0.012). Postoperative return to activity was significantly different at postoperative, after 1 month, after 3 months, after 6months and after 1 year (P value =0.004). Conclusions: Expert tibial nail fixation for DTFs resulted in marked improvements in pain, range of movement, and return to activity over 1 year follow-up period, with most patients experiencing favorable outcomes, with 70% achieving good to excellent satisfaction scores.