To compare the outcome of intramedullary nailing and locking compression plate fixation in treatment of proximal one third tibia fracture: A randomized control trial
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 2
Abstract
Background: Fractures of tibia shaft are most common of long bone fractures. Proximal tibia fractures account for approximately 5% to 11% of all tibial injuries and affect knee function and stability in most of the cases. Higher rates of malunion and increased incidence of associated complications have made these fractures particularly problematic. In recent years due to advancement in technique, proximal tibia plating and multidirectional locked intramedullary nailing, both have become widely used treatment modalities for proximal tibial metaphyseal fractures. This study was performed to compare plating and nailing options in proximal tibia extra-articular fractures. Materials and methods: This randomized prospective clinical study was conducted on 62 skeletally mature patients with closed extra-articular fracture of the proximal tibia treated with proximal tibial locking compression plating (PTLCP) or intramedullary nailing (IMN) by expert surgeons at a tertiary trauma center. Results: Postoperative hospital stay (p = 0.043), postoperative infection rate (p = 0.036) were significantly high in the PTLCP group than in the IMN group, while rate of malunion (p=0.041) and nonunion(0.037) were significantly high in IMN group than in PTLCP group. However there was no clear advantage of either technique in terms of functional recovery of knee. Conclusion: Present comparison of IMN and PTLCP for the treatment of proximal one third tibia fracture showed no clear advantage of either technique. Present study concluded that both forms of treatment (IMN and PTLCP) provide adequate fracture stability. Level of evidence: Level 2, randomized controlled trial.
Authors and Affiliations
Siddharth Jain, Rahul Verma, Sanjeev Gaur, Ashish Gohiya
Keywords
Related Articles
- EP ID EP227669
- DOI 10.17511
- Views 171
- Downloads 0
Knee arthroscopy postoperative analgesia by multimodal cocktail regime
Background: Post-operative knee pain management have become a challenge to provide early relief and pain free postoperative care to the patient. Adequate analgesia influences the early rehabilitation of the patient and h...
Cardiogenic shock in Non-ST elevated AMI patients in a rural tertiary care hospital in Eastern India
Introduction:Acute Myocardial infarction is one of the leading causes of morbidity and mortality worldwide. Cardiogenic Shock is the leading cause of death in patients hospitalised for acute MI. Although there is substan...
Role of thymectomy in myasthenia gravis
Aims and Objective: The aim of study is to show the effect of thymectomy with symptomatic improvement in patients and decrease in dose of medication requirement. To study the outcome of patients with respect to histology...
Study of clinical profile and management of vitreous haemorrhage
Background: Vitreous haemorrhage is one of the common causes of visual loss. This study reports a clinical profile and management of vitreous haemorrhage in our environment, which prevent complications so as to avoid irr...
A Prospective study of the Glasgow-Blatchford score performance in predicting clinical outcomes in patients with upper GI bleeding, in rural India
Introduction: Many patients present to the emergency department with varying grades of UGI bleed, so deciding whether a patient requires emergency endoscopy or managed on out patient basis is a challenging decision. The...