{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:47:07Z","timestamp":1787071627991,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Proximal 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.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n To evaluate the functional and radiological outcomes of proximal tibia fractures treated with combined intramedullary nail and plate fixation.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n A prospective observational study was conducted at Rajendra Institute of Medical Sciences, Ranchi, from November 2023 to February 2025. Thirty patients aged 18\u201370 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.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Significant improvements were observed in RUST scores (\n P<\/jats:italic>\n = 0.0001) and Oxford Knee Score (\n P<\/jats:italic>\n = 0.001) over time. Most patients achieved full weight-bearing by 12 months with minimal complications.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Combined fixation provides excellent functional outcomes, early union, and low complication rates, making it a reliable option for managing proximal tibia fractures.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_251_25","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:02:54Z","timestamp":1760022174000},"page":"853-857","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of Combined Intramedullary Nail and Plate Fixation in Proximal Tibia Fractures, A Prospective Study"],"prefix":"10.4103","volume":"25","author":[{"given":"Rishabh","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudha","family":"Rani","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Sheikh Bhikhari Medical College, Hazaribag, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Govind Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mani Kislay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishwarya","family":"Varma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshu","family":"Soni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/BTO.0000000000000532","article-title":"Nail plate fixation technique to optimize indirect reduction and fixation of proximal tibia fractures","volume":"37","author":"Obey","year":"2021","journal-title":"Tech Orthop"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/j.injury.2015.03.019","article-title":"Outcomes following combined intramedullary nail and plate fixation for complex tibia fractures: A multi-centre study","volume":"46","author":"Yoon","year":"2015","journal-title":"Injury"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"861","DOI":"10.14744\/tjtes.2024.08872","article-title":"Finite element analysis of intramedullary nailing and nail-plate combinations for treating unstable proximal tibial metaphyseal fractures","volume":"30","author":"Toksoy","year":"2024","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"111530","DOI":"10.1016\/j.injury.2024.111530","article-title":"Fixation of proximal tibial fractures with intramedullary nail and immediate weightbearing: A beneficial alternative","volume":"55","author":"Force","year":"2024","journal-title":"Injury"},{"issue":"Suppl 4","key":"R5-20260803","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1097\/BOT.0000000000000698","article-title":"Intramedullary nail and plate combination fixation for complex distal tibia fractures: When and how?","volume":"30","author":"Yoon","year":"2016","journal-title":"J Orthop Trauma"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3329\/jcmcta.v32i1.66544","article-title":"Extra-articular proximal and distal metaphyseal tibial fracture fixation by intramedullary expert nail and locking plate: A prospective study","volume":"32","author":"Chowdhury","year":"2021","journal-title":"J Chittagong Med Coll Teach Assoc"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.otsr.2010.03.025","article-title":"Minimally invasive locking screw plate fixation of non-articular proximal and distal tibia fractures","volume":"96","author":"Ehlinger","year":"2010","journal-title":"Orthop Traumatol Surg Res"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_251_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:49:50Z","timestamp":1787068190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_251_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,9]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_251_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,9]]},"assertion":[{"value":"2025-06-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}