A comparative study of Locking Plate Versus Shortened Interlocking nail for treating extra-articular distal Tibia fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 04
Abstract
Objective: To compare the functional and radiological results of locking plate versus shortened interlocking nail for treating extra-articular distal tibia fractures. Methods: This randomized trial was conducted in Department of Orthopaedics, Lahore General Hospital from 25th June 2017 to 25th July 2019.All patients of distal tibia fractures fulfilling the inclusion criteria were randomly and equally divided into group A(shortened interlocking nail) and group B(anatomically contoured distal tibial locking plate). Post operatively functional outcome was determined by assessing ankle and knee range of motion. Radiological union was assessed through callus formation on X ray AP and Lateral view. The time of radiological union and range of motion in both groups were compared and chi square test was applied to note any statistical significance with P value of < 0.05 was considered significant. Results: Total 24 patients were equally divided into two groups A and B with 12 patients in each group. The mean age of group A was 22.5 years(range 20 to 34.5 years) while group B had mean age 31 years(range 22 to 35 years).In group A all the patients were male. Group B had 1(8.3%) female patient. Majority(91.6%,n=11) of patients in group A regained normal range of motion of ankle and knee at final follow up. In group B the normal ankle range of motion was noted in 8(66.6%) patients. Non union was documented in 1(8.3%) patient in group A and 3(25%) patients in group B. The functional and radiological outcome was significantly better in interlocking nail group than locking plate group(P value of < 0.05). Conclusion: Extra articular distal tibia fractures treated with shortened intramedullary nail produced better functional and radiological results than locking plate. Shortened intramedullary nail should be the treatment of first choice to treat these fractures.
Authors and Affiliations
Muhammad Abdul Basit,1AmolukIjaz,2Muhammad Zaman Khan,3Rashid Hussain,4Muhammad Khalid ur Rehman5Hafiz Muhammad Shiraz,6MianMuhammad Hanif7
Keywords
Related Articles
- EP ID EP741582
- DOI -
- Views 88
- Downloads 0
Assessment of Bone Mineral Density (BMD) among general population of District Khuzdar, Baluchistan Pakistan
Objective: To determine the frequency of osteoporosis and osteopenia among the general population of District Khuzdar, Baluchistan Pakistan. Methods: This was a cross-sectional study and the data was collected on “Wor...
Use of Wet or Dry Bandages for Plaster Back-Slabs
To determine whether there was any significant change in length of crepe bandage and simple cotton bandage when wet and any further change when left to dry again. This will simulate the application of a wet bandage to a...
Functional Outcome of Anterior Interosseous Nerve Transfer to The Motor Branch of The Ulnar Nerve for High Ulnar Nerve Injuries
Objective: To evaluate functional outcome of the anterior interosseous nerve transfer to the motor branch of the ulnar nerve for cases of high ulnar nerve injuries Methods: This descriptive study was conducted in Hand...
Management of Infected Nonunion of Long Bones, A Case Series
Objective: To evaluate the management of long bones infected nonunion. Methods: This retrospective study was conducted between July 2014 and July 2017. Inclusion criteria was to include all cases of infected nonunion...
Integrity & Functional Outcome after Massive Rotator Cuff Repair in Double Row Repair Manner: A Prospective Study.
Objective: To assess the efficacy of shoulder cuff restoration by means of arthroscopic repair in dual row repair fashion and demonstrate 30 months practical result using a scoring system based on modified American Shoul...