Operative Management of Distal Tibial Extra-articular Fractures – Intramedullary Nail Versus Minimally Invasive Percutaneous Plate Osteosynthesis
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2017, Vol 19, Issue 6
Abstract
Background. The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. Materials and methods. Sixty patients with distal tibial extra articular fractures were randomly assigned to an IMN (intramedullary nailing) group and a MIPPO (minimally invasive percutaneous plate osteosynthesis) group. All patients were followed up for a period of one year. At final follow-up, clinical and radiological outcome was assessed by foot function index. Malunion, infection, implant removal, time to union and secondary interventions were compared between the two groups. The comparison of continuous variables was performed by using the Student t-test or Mann-Whitney U test in accordance with normality testing. A value of p less than 0.05 was considered statistically significant. Results. All patients were followed up for a period of one year. Time to callus formation was equal in both groups. There was no non-union in our series. Malunion was more common in the nailing group. The foot function index was similar in both groups. Conclusion. MIPPO and intramedullary nailing are effective treatment options in the management of distal tibial extra particular fractures, with comparable functional outcomes.
Authors and Affiliations
Iftikhar H. Wani, Naseem ul Gani, Mohammad Yaseen, Adil Bashir, Mohammad Shahid Bhat, Munir Farooq
Keywords
Related Articles
- EP ID EP254361
- DOI 10.5604/01.3001.0010.8045
- Views 91
- Downloads 0
Współczesne poglądy na temat wykorzystania żelu bogatopłytkowego w ortopedii i traumatologii
Zastosowanie czynników wzrostu w powiązaniu z inżynierią tkankową wydaje się być najbardziej obiecującą metodą w leczeniu uszkodzonych tkanek, kości oraz chrząstki. Czynniki wzrostu są cytokinami przenoszącymi sygnał pro...
Intramedullary osteosynthesis with gamma nail in treatment of peritrochanteric fractures of the femur
Introduction. The treatment of peritrochanteric fractures of the femur, particularly in elderly people is a therapeutic challenge for the surgeon, not only due to the patient’s age but also the type of fracture. The aim...
Objawy, diagnostyka i leczenie operacyjne chrzęstniaków śródkostnych w oparciu o<br /> własne doświadczenia.<br />
Streszczenie: Materiał i metody: W Wojewódzkim Szpitalu Chirurgii Urazowej im. J. Daaba w Piekarach Śląskich w Oddziale Guzów i Nowotworów Kości w latach 1998-2006 leczono z powodu chrzęstniaka 150 pacjentów w wieku od 1...
Analysis of the influence of Ascaris, Borrelia, Toxocara, Toxoplasma and Mycoplasma infections on the incidence and course of Perthes disease – pilot study
AbstractBackground It is known from medical literature that such organisms as Ascaris, Borrelia, Mycoplasma, Toxocara and Toxoplasma can cause arthritis or cause vascular changes. We studied their influence on the incide...
Rehabilitation of fingers after flexor tendon lesions qualified for secondary reconstruction, using Kleinert's dynamic splinting method.
Background. Primary reconstruction of flexor tendons lesions resulting from serious hand mutilations is not always possible. This causes problems in the rehabilitation of finger joints that are unable to perform active f...