Interlocking Nailing Versus Plating in Tibial Shaft Fractures in Adults: A Comparative Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 4
Abstract
Introduction: Tibial diaphyseal fractures are the commonest long bone fractures in adults, most commonly managed by intramedullary interlocking nailing. However, several metaanalysis show that locking plate osteosynthesis is equally effective in managing tibial diaphyseal fractures and are associated with less number of complications. Aim: To compare the results of fixation of tibial fractures following plating and nailing in terms of union, patient satisfaction and complications. Materials and Methods: A hospital based non randomized clinical trial was performed from September 2013 to August 2016 where closed or open diaphyseal or metaphyseo- diaphyseal fractures of the tibia (closed or open Gustilo Anderson type 1 through 3B) were included. Simple sequential allocation was used for allotting the patients to two groups, one for interlocking nailing and other for plating. The patients were followed up for clinical, radiographic and functional results. Results: Forty patients with 41 involved limbs completed follow up for one year. The duration of surgery and average blood loss during surgery was 75.45±3.03 minutes and 165.00±5.31 ml respectively in case of nailing and 85.05±2.54 minutes and184.29±5.33 ml respectively in case of plating and their difference was statistically significant. In our study union was achieved in less than 20 weeks in 29 (70.8%) of the patients and 25-30 weeks in nine (22%) cases. The average time of union in our study was 19.55±0.69 weeks in case of interlocking nailing and 20.38±1.39 weeks in case of plating and there was no statistically significant difference between the two. However, there is statistically significant difference in the functional score in between the two groups in terms of Lower Extremity Functional Score (LEFS). Delayed union in one case of nailing and two cases of plating, valgus malunion in one case of nailing and joint stiffness in two cases each of nailing and plating were the major complications observed. Conclusion: There was no difference between the two modalities in terms of fracture union. Complications were lesser but more serious in case of plating. Patient satisfaction was more with plating.
Authors and Affiliations
Sagnik Mukherjee, Mahendra Singh Arambam, Sanjib Waikho, Dr. Santosha, Pranav Vitthal Masatwar, Rohan Gautam Maske
Keywords
Related Articles
- EP ID EP338453
- DOI 10.7860/JCDR/2017/25577.9746
- Views 108
- Downloads 0
Ex vivo Evaluation of the Erosive Effect of Acid Tea Widely Consumed in Brazil
ABSTRACT Introduction: Dental erosion is defined as the pathological, irreversible, chronic, and localised loss of dental enamel by prolonged acid action and often without bacterial involvement. Aim: To evaluate ex vivo,...
A Study to Find Out the Full Immunization Coverage of 12 to 23- month old Children and Areas of UnderPerformance using LQAS Technique in a Rural Area of Tripura
Introduction: It is very important to analyze the factors which acts as obstacle in achieving 100% immunization among children. Lot Quality Assurance Sampling (LQAS) is one of the effective method to assess such barriers...
People Present at Road Traffic Crash Scene: Challenges in Defining and Categorising
Letter to Editor
Assessment of Vitamin D Receptor Gene Polymorphism in Iraqi Women with Polycystic Ovary Syndrome
ABSTRACT Introduction: Polycystic Ovary Syndrome (PCOS) is the most common hormonal disorder in women that occurs mainly in the reproductive age. It is suggested to be highly complex and heterogeneous disorder with an u...
Antimicrobial Effects of Garcinia Mangostana on Cariogenic Microorganisms
ABSTRACT Introduction: Garcinia mangostana commonly called as Mangosteen fruit has been used as an antibacterial agent since age old times. The mangosteen pericarp has proven to have antibacterial effect, but the effect...