A analysis of comparative study on intramedullary locking nail and plating for periarticular fractures of distal tibia
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Aim and Objective Our aim is to find out the best line of treatment both radiologically and clinically for the extra articular fractures of the distal tibia treated with imil nailing and platingMaterials and Methods From 2016 may till 2018 January all patients with extra articular fractures were taken for the study All are closed fractures17 patients under went imil nailing and 15 underwent distal tibia plating patients with diabetes smokers alcoholics were included in relation to wound healing Results were analysed as per the scoring the two sets of patients were analysed for infection skin necrosis nonunion malunion ankle rom knee pain shortening etcResults in plating no infection skin necrosis in one patient nonunion noticed in 3 patients and finally in 9months all united except one malunion is more in plating ankle rom stiffness is noticed knee pain noticed in few cases of imil nailing cases shortening noticed in one case in plating results are graded as excellent good fair and poor In nailingno infection no skin necrosis nononunion no angulation ankle rom full knee pain in 1caseand no shortening results were graded as excellent good fair and poor both groups were comparedDiscussion Imil cases bone united in 8w early weight bearing no infection skin necrosis no angulation no shortening noticedIn plating shortening delayed union angulation ankle stiffness which is not seen in imil smoking diabetes and alcoholics landed up in skin necrosis and plate exposuresConclusion In our study we found imil nailing is the best and less complication and early reture towork itgives early weight bearing no shortening no delayed nonunion no infection early union and no malunion rom at ankle is very good rarely knee pain Hence we conclude imil gives the best resultIn our study the fractures were operated by different surgeons We fell a bigger randomised trial involving more number of cases will show how the imil is superior to the platesKeywords Tibial fracture Imil nail Plating tibia Distal tibial
Authors and Affiliations
Mathun Ram, Bharath Dr, Sundharaja Dr
Keywords
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- EP ID EP476696
- DOI 10.18231/2395-1362.2018.0072
- Views 81
- Downloads 0
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