A comparative study of plating versus nailing in distal tibia metaphyseal fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background: Distal tibia fractures continue to be one of the most controversial fractures that we treat. The best option for surgical treatment of distal tibia fractures is still unclear. Aim of treating such fracture is to produce a stable construct which allows early mobilisation and weight-bearing, but with minimal complications. Material and methods: We studied 50 patients with distal tibia fractures within two Muller squares of ankle joint. 25 each treated with Intramedullary Interlocking nail (Nailing group) and distal tibia locking plate (Plating group). The study was prospective and comparative for the methods used for management of fracture. Outcomes in terms of union, time to full weight bear, alignment, infection, secondary procedure required and functional outcome at one year follow up were measured and compared. Results: Age range of patients was 18-75 years. Most common mode of trauma in both groups was road traffic accident (60%) followed by domestic accidents (40%). Time after which full weight bearing was started were significantly shorter in Nailing group (p=0.001). The average time for union was 19.1 weeks (19-22 weeks) in Nailing group and 23.8 weeks for Plating group (22-30 weeks), (p=0.001). Average dorsiflexion at the final follow-up in nailing group was 12.6 degrees and 9.6 degrees in plating group (p=0.025). Average plantar flexion at the final follow-up in nailing group was 32.4 degrees and 25.0 degrees in plating group (p=0.001). Infection was found in 28% of patients in plating group with 12% of patients undergoing secondary surgical procedure. Mal-alignment was found in 4% of patients in Nailing group. The mean functional score in nailing group was found to be better as compared to plating group. Conclusion: We conclude that intra-medullary interlocking nail is a reliable and satisfactory method for the treatment of 43 A type distal tibia fractures with good functional results and high union rates with comparatively low complications.
Authors and Affiliations
Mihir R Solanki, Sandip R Patil, Gaurang C Chanchpara, Prashant L Alwani, Jayesh B Pawar
Keywords
Related Articles
- EP ID EP500416
- DOI 10.22271/ortho.2017.v3.i2b.16
- Views 123
- Downloads 0
Evaluation of functional outcome of high tibial osteotomy in medial compartment osteoarthritis of knee fixed with orthofix and puddu plate: A comparative study
Introduction: Osteoarthritis of knee joint is the most common form of arthritis, affecting a huge population of about 237 million (3.3% of the population). Among those over 60 years old, about 10% of males and 18% of fem...
A rare case report-cervicotrochanteric fracture of femur in child
Paediatric femoral neck fracture is a very rare condition. The treatment of most hip fractures in children consist of closed or open reduction and internal fixation. Inspite of so many treatment options the rate of pedia...
Our experience with the external rotation method in the reduction of anterior dislocation of the shoulder
Background: Dislocations of the shoulder are injuries frequently seen in the emergency department with the anterior type being the most common. Various methods are available in the reduction of these dislocations. The ai...
Comparision of functional outcome in elderly patients with inter trochanteric fracture: Dynamic hip screw vs proximal femoral nail
Introduction: The conservative approach has high complication rate. The common problems of prolonged immobilization, decubitus ulcers, U.T.I, joint contractures, pneumonia, and thrombo-embolism contribute to the high mor...
Sensitivity and specificity of MRI in detecting meniscal tears, confirmed subsequently with arthroscopy
Background: Knee joint is the largest and complex joint of the body consisting of two condylar joint between the corresponding condyles of femur and tibia and a sellar joint between patella and femur. Objective: to obser...