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
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