Observational studyAnnals of African medicine2026
Outcome of Combined Intramedullary Nail and Plate Fixation in Proximal Tibia Fractures, A Prospective Study.
Observational study in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundProximal tibia fractures are complex injuries that often require stable fixation to ensure proper alignment and early mobilization. Combined intramedullary nailing and plate fixation has emerged as a promising technique, especially in challenging fracture patterns.
objectiveTo evaluate the functional and radiological outcomes of proximal tibia fractures treated with combined intramedullary nail and plate fixation. METHODOLOGY: A prospective observational study was conducted at Rajendra Institute of Medical Sciences, Ranchi, from November 2023 to February 2025. Thirty patients aged 18-70 years with proximal tibia fractures were treated using combined fixation. Functional outcomes were assessed using the Oxford Knee Score, radiological healing with Radiographic Union Score for Tibia (RUST) score, and complications were recorded. Follow-ups were conducted at 1.5, 3, 6, and 12 months postoperatively.
resultsSignificant improvements were observed in RUST scores ( P = 0.0001) and Oxford Knee Score ( P = 0.001) over time. Most patients achieved full weight-bearing by 12 months with minimal complications.
conclusionCombined fixation provides excellent functional outcomes, early union, and low complication rates, making it a reliable option for managing proximal tibia fractures.
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