Extra-Articular Proximal Tibia fractures: Proximal tibia plate versus intramedullary nailing
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Extraarticular promixal tibial fracture make up to around 101 of all shaft tibia fractures which are most commonly due to high velocity injury Both conservative and operative management options are available but conservative management has resulted in many complications Intramedullary nailing and minial invasive plating are the preferred techniques of the available modalities of operative management There is not enough evidence regarding the superiority of one of the two techniques The purpose of this study is to compare these different approaches based on hospital stay blood loss union rates malnonunion postoperative range of motion of knee period of nonweight bearing infection rates and implant removal rateMaterial and MethodsThis is a randomized prospective study conducted on 50 osteoporotic patients with extraarticular proximal tibia fractures treated with minimally invasive proximal tibial plating vs intramedullary nailing at Department of Orthopedics BJ medical college Civil hospital Ahmedabad between June 2016 and May 2017Observation and ResultsPatients with intramedullary nailing had lesser duration of stay lower cost less infection rate less implamt removal rate but higher malunion and union rates compared to plating patients Operative time time to full weight bearing and range of motion was found to be similar in bothConclusionIntramedullary nailing is preferred operative modality over plating because of decreased hospital stay faster union decreased operative time and decreased infective rate However there was no significant difference in range of motion of knee rate of malunion and nonunionKeywords Proximal tibia fracture Intramedullary nailing Plating
Authors and Affiliations
Zulfikar Patel, Bhavya B. Shah, Hriday Acharya
Keywords
Related Articles
- EP ID EP486036
- DOI 10.18231/2455-6777.2018.0003
- Views 103
- Downloads 0
Osteoid osteoma of the capitate: A case report
Osteoid osteoma is a benign relatively uncommon osteogenic tumour of unknown aetiology, affecting mainly the long bones and rarely the carpal bones. Because of its nonspecific presentation in the wrist, it remains a diag...
Evaluation of mast cells in odontogenic cysts by toluidine blue & c-kit gene product (CD117)
Introduction: Odontogenic cysts are characterized by an expansile non–infiltrative growth through several mechanisms which include presence of mast cells in the capsule. The mast cells can be demonstrated histochemically...
Von Willebrand disease - broadening our vision: a pediatric case report with dental considerations
Von Willebrand disease is an autosomal inherited bleeding disorder caused due to the quantitative or qualitative defects of a multimeric glycoprotein, the Von Willebrand factor (VWF). VWF is a multi-adhesive protein that...
JAK inhibitors: Evolving therapies in rheumatoid arthritis
In rheumatoid arthritis there has been a paradigm shift from controlling symptoms to controlling the disease progress with abrogation of inflammation Achieving this remission or very low disease activity has become incre...
Radial neck fracture reduction and fixation by titanium elastic nail (Metaizeau): A method used in adults too
Radial neck fractures comprises of less than 1 of all fractures in adults They are more common in children than adults Majority of cases require surgical management especially in adults Surgically preferred management co...