Comparative study of minimally invasive plate osteosynthesis versus distal tip locking tibia nailing in treatment of distal 1/3 tibia shaft fractures
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 3
Abstract
Introduction: Distal 1/3 tibia shaft fractures pose a greater challenge to the surgeon due to its proximity to the ankle joint and due to lack of soft tissue protection. Choosing Modality of fixation in this fractures is quite difficult due to its proximity to ankle joint and less soft tissue coverage. Here this study tries to compare two most commonly used modalities that are tip locking nail and MIPO to find a better mode of fixation. Methods: There are 42 patients of fractures distal 1/3 tibia shaft fractures during a period of January 2016 and January 2017. They are randomly divided into two groups out of which 21 treated by tip locking nail and 21 patients by MIPO. Results: Out of 42 patients 21 (50%) treated by MIPO and 16 (50%) by tip locking nail. The mean age of the patient treated with the plate was 38.6 years. The mean age of patients treated by expert tibia nail is 39.18 years. 4 patients treated with MIPO had complications of superficial infections, ankle pain, implant failure. 7 patients operated by tip locking nail presented with knee pain, implant failure, malunion. Conclusion: Our study throws light on the tip locking nail as the effective method in lesser operative time, early mobilization of the patient and faster healing of fracture compared to MIPO. Even surgical wound infection rate was more common in MIPO than tip locking nail. But, anatomical reduction and proper fixation are achieved through MIPO than compared to tip locking nail.
Authors and Affiliations
Madhukar KT, Cheemala Vikram Reddy
Keywords
Related Articles
- EP ID EP506900
- DOI -
- Views 57
- Downloads 0
Comparison of clinical, radiological and functional outcome of short segment V/S long segment posterior fixation of tuberculosis of spine
Introduction: Spinal tuberculosis is most common form of extra-pulmonary TB, accounting for 50% of cases of musculoskeletal TB, however TB spine is a potentially debilitating condition not only because of its chronic nat...
Study of outcomes of supracondylar Humerus fracture with ipsilateral lower end radius fracture in children
Supracondylar humerus fracture with forearm fractures are rare with reported incidence ranging from 3% to 13%. We have treated ten patients with ipsilateral supracondylar humerus fracture with distal radius fracture. One...
Amputation of ischaemic limb due to arterio-venous emboli manage by fogarty embolectomy has better prognosis than manage by LMW Heparin
Extraction of arterio-venous emboli using the Fogarty catheter has been widely accepted technique for embolectomy but it also give better circulatory function in amputated limb Case Presentation: This report describes ar...
The influence of prosthetic foot stiffness on energy expenditure in unilateral below-knee amputees
This paper investigates the relationship between prosthetic foot stiffness and energy expenditure. There are a multitude of different factors that can affect prosthetic foot stiffness that should be taken into considerat...
Results of uncemented THR in Indian patients in Indian conditions
Introduction: The hip joint is the most important joint of the body as it enables a person to assume various postures. Diseases of this joint are always alarming because if untreated, produces serious disability, for thi...