Evaluation of Treatment of Distal Tibia Fracture with an Intramedullary Interlocking Nail and Single Poller Screw

Introduction: Distal tibia fracture tends to angulate while using a standard intramedullary interlocking nail. By single Poller screw, the medullary cavity's functional diameter is reduced. This leads angulation correction and three-point fixations, which improve mechanical stability of nail-bone construct.
 Aims: To assess radiological results nail poller screw in management adult distal fracture.
 Methods: All patients with fractures age more than 18 years, treated nails at Nepalgunj Medical College between January 2022 April 2023 were included this prospective study. Radiological examination involved measuring sagittal coronal plane pre postoperatively, outcome was assessed Karlstorm- Olerud score. Ethical clearance obtained from Institutional Review Committee.
 Results: Total 30 patients, 19 male 11 females mean 32.37 ± 11.02 (range 62 years) treated. Mean difference isthmus site statistically significant. There significant reduction after surgery maintained till union. united an average 17.60 2.25 weeks, 90% having good excellent results.
 Conclusion: Using can greatly alleviate issue fragment for fracture.