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ORIGINAL ARTICLE
Year : 2014  |  Volume : 3  |  Issue : 2  |  Page : 68-72

Comparison of clinical, radiological, and functional outcome of closed fracture of distal third tibia treated with nailing and plate osteosynthesis


Department of Orthopaedics, Sri Ramachandra Medical College, Porur, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Ganesh Babu Natarajan
B2 Private Clinic, Department of Orthopaedics, Sri Ramachandra University, Porur, Chennai - 600 116, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1597-1112.154924

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Aim: This is a prospective study of 30 patients with distal tibia fracture (Closed extra - articular distal third tibia fractures - 4 to 11cm from tibial plafond) who underwent surgical fixation were included in this study after excluding compound, pathological and paediatric fractures. Materials and Methods: 15 underwent closed intramedullary interlocking nail and 15 were treated with plate osteosynthesis (MIPO). Results: The age distribution ranged from 23 to 68 years with the mean age of 39.4 years. The mode of injury in all patients was due to vehicle accidents. All 30 patients were classified according to AO classification of which 15 belonged to A1, 14 belonged to A2, and 1 belonged to A3. The time of fixation from injury varied from 6 hours to 18 days. Conclusion: Plate osteosynthesis by minimally invasive technique and Intramedullary interlocking nailing are equally effective method of stabilisation for distal tibia fracture when considering the union rates and final functional outcome. However malunion, nonunion and secondary procedures were more frequent after intramedullary interlocking nail. Randomised prospective evaluation of distal tibia fractures may clarify the efficacy of plate versus nail treatment and optimize the patient care.


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