A COMPARATIVE STUDY OF INTRAMEDULLARY INTERLOCKING NAILING VERSUS LOCKING PLATE OSTEOSYNTHESIS (MIPO) IN THE MANAGEMENT OF EXTRAARTICULAR DISTAL TIBIAL FRACTURES
Swapna Pran Saikia, Kartikey Mishra, Th Pouziivei, Hrishikesh Goswami- General Medicine
- General Medicine
- General Engineering
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- General Chemistry
- Pulmonary and Respiratory Medicine
- Pediatrics, Perinatology, and Child Health
- Applied Mathematics
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- Computer Science Applications
- History
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- Immunology
Background: The tibia is the major weight-bearing bone of the leg and is the most commonly fractured1 long bone in the body. Distal tibia fractures have the second highest incidence of all tibia fractures after the midshaft fracture of the tibia2. It is unique in that the bone is subcutaneous with decreased muscular cover; consequently, decreased vascularity leads to complications like delayed union and wound complications such as dehiscence and infection3. Currently, both intramedullary nail and plate xation are the most commonly used treatment methods for distal extra-articular tibial fractures with their advantages and disadvantages4. So, this study is conducted to compare the treatment results of intramedullary nailing and locking plate technique in terms of rate of healing functional outcome and complications. This was a hospital-based prospective observational study for a Methods: period of one year with a total of 40 patients presented with closed distal tibial fractures Patients undergoing surgery were divided into two groups; Group (MIPO) (n-20): Treated by MIPO plating, Group (IM Nail) (n-20): Treated by CRIF with IM/IL nail. The average surgical tim Results: e was 74.50±8.09 minutes in the MIPO group and 69.25 ± 13.70 in the IM nail group. The mean time to partial weight bearing for patients in the MIPO group was 6.56 ± 2.38 weeks and 5.18 ± 2.21 weeks in the IM nailing group. The average fracture union in the MIPO group was 19.78±6.65 weeks and the average union time in IM Nail was 17.89±7.33 weeks. We concluded that the intramedullary interlocking nailing group was as Conclusions: sociated with a lesser duration of surgery, earlier weight bearing, faster union, lesser duration of hospitalization and earlier return to the pre-injury active life. However, locking plate xation by the MIPO technique has the advantage of less chance of varus malalignment and anterior knee pain.