Is fibula plating mandatory in distal third both bone legfracture tibia treated with nailing?
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 4, Issue 2
Abstract
Background: Fibular fixation in extra-articular distal third tibia fracture has increased potential for soft tissue-related complications and delayed union or non-union. The aim of this study is to assess whether fibula plating helps to improve the outcome of both bone distal third fracture treated by tibia nailing. Materials and Methods: This is a prospective study done at Sri Ramachandra University, Chennai between June 2014 and September 2017. Patients older than 18 years of both genders having combined distal tibia and fibular fractures with AO/OTA 43 A1-3 were included. The patients with compound fractures, intra-articular fractures, paediatric fractures and pathological fractures were excluded from the total number of subjects. Thirty patients with both distal bone leg fractures were divided into two groups. Group I contained 15 patients who had fibula plating and Group II contained 15 patients without fibula plating. Their functional outcomes were assessed by mal-alignment, non-union and infection.Results: Group I had 11 Excellent/Good scores, 3 Fair scores and 1 Poor score. Group II had 13 Excellent/Good scores and 2 Fair scores. None had Poor score. In Group I thenon-union rate was 16.67% and in Group II was 3.33%.Conclusion: Fibula fixation is not mandatory in distal third both bone leg fracture treated with tibia nailing.
Authors and Affiliations
Balamurugan Duraipandi, Ganesan G Ram
Keywords
Related Articles
- EP ID EP261078
- DOI -
- Views 51
- Downloads 0
A study of management of subtrochanteric fractures of femur with reconstruction nail
Background:Injuries to the femur the longest bone in the body present challenging situation to the Orthopaedic Surgeon. These fractures account for 10% to 34% of all hip fractures. Advantages of intramedullary devices in...
A prospective clinical trial to study the efficacy of biological membrane in the management of diabetic foot ulcers
Objectives: To study the role of Biological Membrane in the management of diabetic foot ulcers. Methods: Biological membrane alone was used as a definitive wound cover in 23 cases. In the remaining 77 cases definite cove...
Distal femoral locking compression plate fixation in distal femoral fractures: Early results
We conducted a retrospective review on eleven patients who were treated for Type A and C distal femoral fractures (based on AO classification) between January 2017 and December 2017. All fractures were fixed with titaniu...
Clinical profile of patients with complex proximal femur fractures
In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. Aim: To study the clinical profile of p...
A randomized controlled trial comparing outcomes of k wire removal at 4 weeks vs. 6 weeks of lateral condyle fractures of humerus in children
Background and Objectives: Lateral condyle humerus fractures are the most common distal humeral fractures in children. They are associated with higher rate of complications and the results of non-operative management are...