A comparative study of Locking Plate Versus Shortened Interlocking nail for treating extra-articular distal Tibia fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 04
Abstract
Objective: To compare the functional and radiological results of locking plate versus shortened interlocking nail for treating extra-articular distal tibia fractures. Methods: This randomized trial was conducted in Department of Orthopaedics, Lahore General Hospital from 25th June 2017 to 25th July 2019.All patients of distal tibia fractures fulfilling the inclusion criteria were randomly and equally divided into group A(shortened interlocking nail) and group B(anatomically contoured distal tibial locking plate). Post operatively functional outcome was determined by assessing ankle and knee range of motion. Radiological union was assessed through callus formation on X ray AP and Lateral view. The time of radiological union and range of motion in both groups were compared and chi square test was applied to note any statistical significance with P value of < 0.05 was considered significant. Results: Total 24 patients were equally divided into two groups A and B with 12 patients in each group. The mean age of group A was 22.5 years(range 20 to 34.5 years) while group B had mean age 31 years(range 22 to 35 years).In group A all the patients were male. Group B had 1(8.3%) female patient. Majority(91.6%,n=11) of patients in group A regained normal range of motion of ankle and knee at final follow up. In group B the normal ankle range of motion was noted in 8(66.6%) patients. Non union was documented in 1(8.3%) patient in group A and 3(25%) patients in group B. The functional and radiological outcome was significantly better in interlocking nail group than locking plate group(P value of < 0.05). Conclusion: Extra articular distal tibia fractures treated with shortened intramedullary nail produced better functional and radiological results than locking plate. Shortened intramedullary nail should be the treatment of first choice to treat these fractures.
Authors and Affiliations
Muhammad Abdul Basit,1AmolukIjaz,2Muhammad Zaman Khan,3Rashid Hussain,4Muhammad Khalid ur Rehman5Hafiz Muhammad Shiraz,6MianMuhammad Hanif7
Keywords
Related Articles
- EP ID EP741582
- DOI -
- Views 81
- Downloads 0
Comparison of Limb Salvage with Mega Prosthesis Versus Auto Graft Reconstruction after Cryotherapy in Adolescent Patients with Limb Sarcomas
Objective: To compare the functional outcome of limb salvage in adolescent limb sarcomas treated with Mega Prosthesis Versus Auto Graft Reconstruction as assessed with Musculoskeletal Tumor Society(MSTS) rating Scale....
Common Complications of Ilizarov External Fixator
Objectives: To evaluate the complications of Ilizarov external fixator. Methods: This descriptive study was conducted between January 2012 and December 2016. Data includes demographics, functional outcome and complica...
Functional Outcome of the Proximal Tibial Fractures Using Ilizarov External Fixator
Objective: The objective of our study was to assess the functional results of Ilizarov fixator for treating proximal tibial fractures. Methods: The design of our study was descriptive and we conducted this study in th...
Isolated dislocation of the Fifth Carpometacarpal Joint: A Case Report.
Isolated Carpometacarpal (CMC) joints dislocations is an extremely uncommon injury. It is often missed in polytrauma patient. It can be associated with ulnar nerve damage and detailed neurologic assessment is often warra...
Outcome of Mid 1/3rd Clavicular Fracture After Open Reduction and Internal Fixation
To assess functional outcome after open reduction and internal fixation of clavicaular fractures Methods: This is a prospective cohort study of ORIF (Open reduction and internal fixation) of middle 1/3rdclavicular fra...