Management and complications of Distal Tibial fractures

Background: Management of distal tibal fractures is a great challenge. This type of fractures has high complication rate. Materials and methods: 86 fractures on 86 patients were studied during the period of 2015 to 2017 April. Intramedullary nailing, internal fixation, external fixation and conservative treatment were used. Treatment outcome was measured by occurrence of complications, radiographic analysis, evaluation of the American orthopaedic foot and ankle society (AOFAS) ankle score and measures of the ankle range of motion. Results: The average functional score was 79 points and complications occurred in 16 patients. Conclusion: Poor results were due to complications, fracture severity and use of external fixation. So we recommended external fixation must reserve for trauma with severe kin injury and other cases can be treated by traditional open reduction and internal fixation with early mobilisation.