Comparison Of Intra Medullary Locking Nail And Minimally Invasive Percutaneous Plate Osteosynthesis By LCP In Treatment Of Distal Tibial Fractures –Prospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Because of sub cutaneous location and proximity to ankle joint, distal tibial fracture pose a significant challenge to Orthopedics surgeon and cannot be managed by following simple set of rules. With the advent of newer implant the recent advances to manage this fractures are intra medullary locking nail and mippo by LCP. We have conducted prospective mullticentric study between feb2017 to march2018 .23 patients with distal 1/3 tibial fracture with out intraarticular involvement ware included in study. 13 patients were male and 10 were female between the age group of 21 to 62 years . 13 patient were treated by intra medullary and 10 patients were managed with LCP by mippo technique. Follow up was done at 2 weeks, 4 weeks, 8 weeks,12 weeks, 24 weeks and 48 weeks. All the patients had complete union between 16 weeks to 28 weeks with functional out come between excellent and good in patients. There there were 3cases of superficial infection in LCP group patients and 1 case of superficial infection in proximal bolt of IMN. 2 cases of delay union and 3 cases of restricted ankle movments were found which recovered with physiotherapy
Authors and Affiliations
Sandeep Kumar, Ravikant Mahariya, Surabhi Vyas, D R Galfat
Keywords
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