International Journal of Orthopaedics Sciences

Comparative study: Interlock nailing versus plating for extra articular distal tibial fractures

2021, Volume 7 Issue 4

Comparative study: Interlock nailing versus plating for extra articular distal tibial fractures

Author(s): Dr. Hemal V Patel, Dr. Suresh Rudani and Dr. Navin Gagal
Abstract: Background: Distal 1/3rd tibia is the second most common fracture location in tibia, diaphysis being the first. Subcutaneous location, poor blood supply and less soft tissue cover make it prone for infections and thus are challenging for orthopaedists. There are many options available for management but still there are insufficient evidences on the best surgical intervention.
Materials and Method: We conducted the study of total 60 patients of distal 1/3rd extra articular tibial fractures during the period of October 2018 to April 2020 in the Department of Orthopaedics in tertiary care hospital. Patients fulfilling inclusion and exclusion criteria were the study participants. After obtaining consents, patients were divided in nailing and plating groups. Radiological outcomes and clinical outcomes using lysholm knee score and kaikkonen ankle score system were assessed at 1 month, 3 months, 6 months and 1 year intervals.
Results: A total of 60 patients (30 in each group) participated. The mean age of participants were 40.4 and 43.06 years for nailing and plating respectively and there was no significant difference between numbers of male and female. The duration of surgery for intramedullary nail was significantly less compared to plating. The lysholm knee score was significantly higher in plating group and kaikkonen ankle score was higher in nailing group. Anterior knee pain was more frequent after nailing. Exposed implant was found only in the plating group.
Conclusion: The study found that the duration of surgery as well as the time taken for union was significantly less for nailing group and complications were also less in the nailing group with reduced morbidity. So we prefer intramedullary interlocking nailing in treatment of extra articular distal tibia fractures.
Pages: 297-302  |  410 Views  72 Downloads
How to cite this article:
Dr. Hemal V Patel, Dr. Suresh Rudani, Dr. Navin Gagal. Comparative study: Interlock nailing versus plating for extra articular distal tibial fractures. Int J Orthop Sci 2021;7(4):297-302. DOI: 10.22271/ortho.2021.v7.i4e.2896
 
International Journal of Orthopaedics Sciences
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