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 126
- Downloads 0
Splenomegaly in malaria patients in a tertiary care institute: A study from central India
Introduction: The spleen is always affected in person suffered from malaria. The palpable spleen is one of the main clinical symptoms. History of fever, anemia and splenomegaly are predicting symptoms for clinical diagno...
Endoscopic evaluation and treatment of epistaxis – A prospective study
Epistaxis is a common nasal symptom seen in all age groups. It often presents as an emergency. An attempt should always be made to find any local or systemic cause for it because epistaxis is a sign and not a disease per...
Assessment of efficacy of IV ω-3 PUFA supplementation in patients of predicted severe acute pancreatitis using the positive predictive value of Balthazar score within 48 hours of onset
Introduction: Since 50% of the mortalities in acute pancreatitis (AP) occur within the first week, early prediction of its outcomes is vital. The CT severity index (CTSI) reliably predicts outcomes when calculated 4-7 da...
Clinical study of coparision of pterygium surgery with and without Mitomycin-C on bare sclera technique
Introduction: A pterygium is a triangular wedge of fibro-vascular conjunctival tissue that appears on the epibulbar conjunctiva, which can be removed by various methods. Recurrence of Pterygium after exicision is a very...
A study on ocular manifestations in patients with Diabetes mellitus
Background: Ocular complications other than Diabetic Retinopathy are frequent among diabetic population. This includes diseases causing reversible and irreversible visual loss. Aim: The aim of this study is to find out t...