Osteosynthesis distal tibial metadiaphyseal fractures with intramedullary nailing versus plating

Authors

  • Deepak Vashisht Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India http://orcid.org/0000-0001-7909-4027
  • Manjit S. Daroch Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India
  • Sanjeev Sreen Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India
  • Kuldeep Rathi Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171851

Keywords:

Distal tibia metadiaphyseal fractures, Expert tibia nailing, Intramedullary nailing, Plating

Abstract

Background: The management of the tibial fracture remains controversial despite advances in both non-operative and operative care. Plates and intramedullary nails are two well-accepted and effective methods, but each has been historically related to complications. The present study was conducted to compare the results of displaced extra-articular distal tibia meta-diaphyseal fractures OTA/AO Type 42A- C (distal) and 43-A treated with intramedullary nailing versus plating with respect to union of fracture, early Restoration of function, the axial alignment and Complications, if any.

Methods: In this study 30 patients of extra-articular distal tibia fracture AO type 42 A-C (distal) and 43 A were randomly selected and 15 were operated with intramedullary nailing and remaining 15 with plating. The patients were regularly followed up for a period of 9 months with radiological and clinical examination. Final assessment was done by Tenny and Wiss clinical assessment criteria.

Results: In Interlocking group, average time for union was 20.33 weeks in Interlocking nail group compared to 23.21 weeks in plating group which was significant (p value 0.011). Also, the average time required for partial and full weight bearing in the nailing group was 7.2 weeks and 13.2 weeks respectively which was significantly less as compared to 9.33 weeks and 16.64 weeks in the plating group. Lesser complications in terms of implant irritation, ankle stiffness and infection (superficial and deep) were seen in Interlocking group as compared to plating group.

Conclusions: In present study ILN showed better outcome as it offers advantage in terms of mean operating time, less invasive surgery, hospital stay, partial and full weight bearing time and union time.

Author Biographies

Deepak Vashisht, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Senior Resident 

Orthopaedics

Manjit S. Daroch, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Professor

Orthopaedics

Sanjeev Sreen, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Assistant Professor

Orthopaedics

Kuldeep Rathi, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Junior Resident

Orthopaedics

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Published

2017-04-26

How to Cite

Vashisht, D., Daroch, M. S., Sreen, S., & Rathi, K. (2017). Osteosynthesis distal tibial metadiaphyseal fractures with intramedullary nailing versus plating. International Journal of Research in Medical Sciences, 5(5), 2104–2109. https://doi.org/10.18203/2320-6012.ijrms20171851

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Section

Original Research Articles