Comparison of Clinical and Radiological Outcome Between Minimally Invasive Plate Osteosynthesis and Open Reduction and Internal Fixation in Distal Tibial Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2015, Vol 27, Issue 02
Abstract
To compare the clinical and radiological outcome between minimally invasive plate osteosynthesis and open reduction and internal fixation in distal tibial fractures. Methods: This randomized controlled trial study was conducted in the department of Orthopedics, Sir Ganga Ram Hospital, Lahore from September from September 2013 to March 2015. Forty patients presenting with closed, displaced, distal tibial fractures without ankle involvement were divided into two groups using lottery method. Group-A underwent ORIF and Group-B underwent MIPO. A written informed consent was taken from every patient. Results: The mean age of the patients was 42.45±8.25 years in Group-A and 41.35±9.56 years in Group-B (p=.699). There were 13 (65%) male and 7 (35%) female patients in Group-A and 14 (70%) male and 6 (30%) female patients in Group-B (p=.736). Mean operative time was insignificantly higher in Group-B (73.90±5.15 vs. 70.75±6.10 minutes; p=.086) as compared to Group-A. Mean VAS score for post-operative pain (6.40±1.05 vs. 4.45±.95; p=.000) and mean length of hospital stay (4.35±1.04 vs. 2.70±.73 days; p=.000) was significantly higher in Group-A as compared to Group-B. 6 patients in Group-A developed flap necrosis compared to none in Group-B (30% vs. 0%; p=.008). 5 Patients in Group-A developed wound infection in 2nd post-operative week compared to only 1 patient in Group-B (25% vs. 5%; p=.077). On 12th post-operative week, radiological union was evident in all the patients (100%) of Group-B compared to 16 patients (80%) of Group-A, and this difference was statistically significant (p=.035). Conclusion: Though associated with insignificantly longer operative time, MIPO is associated with significantly decreased post-operative pain and length of hospital stay. MIPO offers the advantage of soft tissue protection thus minimizing infection
Authors and Affiliations
Muhammad Hanif, Saif-ur-Rehman, Fahad Nazir, Muhammad Khalid ur Rehman, Yawar Anis
Keywords
Related Articles
- EP ID EP742547
- DOI -
- Views 50
- Downloads 0
Outcome of Locally Delivered Antibiotics via Bone Cement in Infective Nonunion, Chronic Osteomyelitis and Joint infections, A Case Series
Objective: To determine the outcome of locally delivered antibiotics via bone cements in infective non-union, chronic osteomyelitis and joint infections Methods: The study was conducted between January 2016 to June 20...
Outcome of High Tibial Osteotomy in Patients with Osteoarthritis Knee
Objective: To determine the radiological, functional and anatomical outcome in patients with osteoarthritic knee undergoing high tibial osteotomy. Methods: This descriptive study was conducted in the Orthopedic Depart...
Postoperative Pain in Total Knee Arthoplasty Patients: The Effectiveness of Local Anaesthetic and Analgesic Agents
To determine the efficacy of a periarticular injection of multimodal drugs, consisting of bupivacaine (a long acting local anesthetic), ketorolac ( Nonsteroidal anti-inflammatory) and epinephrine in providing effective p...
Outcome of Infected Non-Union of Long Bone Fractures of the Lower Limb Using Ilizarov Ring Fixator
Objective: To determine the radiological and functional outcome of Ilizarov ring fixator in the management of infected nonunion of long bones of the lower limb. Methods: This descriptive study was conducted in Mercy T...
Does Nailing Distal Tibia Metaphyseal Fracture with Modified Interlocking Nail Produce Acceptable Outcome?
Objective: To determine the functional results of distal tibia metaphyseal fractures treated with modified (shortened) interlocking nail and K wire fixation of the fibula. Methods: This descriptive study was conducted i...