![]() | Only 14 pages are availabe for public view |
Abstract Fractures of the proximal third tibial shaft although less common (9% of all tibial shaft fractures) it presents a therapeutic challenge even to the most experienced trauma surgeons. Although surgical treatment is recommended for almost all proximal third tibial shaft fractures, controversy remains regarding the optimum fixation device. The aim of this work was to compare the results of treatment of recent fractures of proximal third tibial shaft using proximal tibial locked plates versus the interamedullary interlocking nail .The material of this study included 20 patients with proximal third tibial shaft fractures treated in Menoufiya University Hospital and Shepeen Elkome Teaching Hospital between January 2010 and February 2013. These patients were divided into two groups: Group I include 10 patients were treated with proximal tibial locked plates and screws, and Group II include 10 patients were treated with interamedullary interlocking nail. The age incidence ranged from nineteen to seventy five years old with an average age of 36 years. there were nineteen males and one female the right side was affected in nine patients while the left side was affected in eleven patients. Nineteen fractures occurred as a result of high energy trauma while one fracture occurred as a result of low energy trauma . According to AO classification , Nine patients in this series were type A2 fracture (45%), Teen patients were type A3 (50%), and one patient was type B1 (5%) |