Background: The distal tibia and fibula fracture are common orthopaedic injuries resulting from high-energy trauma such as falls, sports-related incidents, and motor vehicle accidents. The optimal fixation strategy for these fractures remains a subject of debate. Traditional methods, such as plating and screw fixation, provide stability but may be associated with complications, including soft tissue compromise and delayed healing. In recent years, elastic nailing has emerged as a minimally invasive surgery alternative for fibular fixation, particularly when performed in conjunction with distal tibial fractures.

Objective: The study was done to evaluate the functional outcomes of fibular fracture fixation using elastic nails in combination with distal tibial fractures. Key outcome measures include pain levels, range of motion, return to daily activities, and complication rates.

Methods: A prospective cohort of 20 patients with distal tibia-fibula fractures underwent surgical fixation with elastic nails was assessed. Clinical and functional outcomes was evaluated using standardized scoring systems, radiographic assessments, and patient-reported measures at regular follow-up intervals.

Results: Preliminary findings suggest that elastic nailing provides adequate stabilization while minimizing soft tissue disruption. Patients demonstrated satisfactory functional recovery with acceptable pain levels and early mobilization. Complication rates, including non-union and implant-related issues, were comparable to or lower than those associated with conventional fixation methods.

Conclusion: Elastic nailing for fibular fractures, when used in conjunction with distal tibial fracture fixation, appears to be a viable and effective treatment option for bone healing