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The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 5 | Pages 781 - 787
1 Sep 1995
Robinson C McLauchlan G McLean I Court-Brown C

We reviewed 63 patients with fractures of the distal tibial metaphysis, with or without minimally displaced extension into the ankle joint. The fractures had been caused by two distinct mechanisms, either a direct bending force or a twisting injury. This influenced the pattern of the fracture and its time to union. All fractures were managed by statically locked intramedullary nailing, with some modifications of the procedure used for diaphyseal fractures. There were few intra-operative complications. At a mean of 46 months, all but five patients had a satisfactory functional outcome. The poor outcomes were associated with either technical error or the presence of other injuries. We conclude that closed intramedullary nailing is a safe and effective method of managing these fractures.


The Journal of Bone & Joint Surgery British Volume
Vol. 76-B, Issue 4 | Pages 678 - 678
1 Jul 1994
McLean I