Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis?
Introduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challengin...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-06-01
|
| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1016/j.jotr.2017.09.004 |
| _version_ | 1811323053977632768 |
|---|---|
| author | Kawalkar Abhijit Chandrakant Badole Chandrashekher Martand |
| author_facet | Kawalkar Abhijit Chandrakant Badole Chandrashekher Martand |
| author_sort | Kawalkar Abhijit Chandrakant |
| collection | DOAJ |
| description | Introduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPPO technique. Methods The study was conducted between Jan 2011 to Dec 2012. 63 patients with extra-articular distal tibia fracture treated with intramedullary nailing and MIPPO technique were reviewed retrospectively and clinical outcome was evaluated according to American Orthopaedic Foot and Ankle Score. Results 31 patients were treated with intramedullary nail & 32 with MIPPO technique. Fibular fixation was done in cases where fibular fracture was at or below the level of tibial fractures. We found no difference in terms of time for fracture union, mal-union, non-union, duration of surgery and amount of blood loss. But there was significant difference in terms of infection and duration of hospital stay. Also weight bearing was possible much earlier in intramedullary group as compared to the MIPPO group. Conclusion Thus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures & helps in early weight bearing and ambulation of patient with fewer complications. |
| first_indexed | 2024-04-13T13:48:15Z |
| format | Article |
| id | doaj.art-bc5f91bf164f4710bedcc4d5c4553fc7 |
| institution | Directory Open Access Journal |
| issn | 2210-4917 2210-4925 |
| language | English |
| last_indexed | 2024-04-13T13:48:15Z |
| publishDate | 2018-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-bc5f91bf164f4710bedcc4d5c4553fc72022-12-22T02:44:26ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172210-49252018-06-012410.1016/j.jotr.2017.09.004Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis?Kawalkar Abhijit Chandrakant0Badole Chandrashekher Martand1 Department of Orthopaedics, Global Hospital, Parel, Mumbai, Maharashtra 442001, India Department of Orthopaedics, MGIMS, Sewagram, Wardha, Maharashtra, IndiaIntroduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPPO technique. Methods The study was conducted between Jan 2011 to Dec 2012. 63 patients with extra-articular distal tibia fracture treated with intramedullary nailing and MIPPO technique were reviewed retrospectively and clinical outcome was evaluated according to American Orthopaedic Foot and Ankle Score. Results 31 patients were treated with intramedullary nail & 32 with MIPPO technique. Fibular fixation was done in cases where fibular fracture was at or below the level of tibial fractures. We found no difference in terms of time for fracture union, mal-union, non-union, duration of surgery and amount of blood loss. But there was significant difference in terms of infection and duration of hospital stay. Also weight bearing was possible much earlier in intramedullary group as compared to the MIPPO group. Conclusion Thus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures & helps in early weight bearing and ambulation of patient with fewer complications.https://doi.org/10.1016/j.jotr.2017.09.004 |
| spellingShingle | Kawalkar Abhijit Chandrakant Badole Chandrashekher Martand Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? Journal of Orthopaedics, Trauma and Rehabilitation |
| title | Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? |
| title_full | Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? |
| title_fullStr | Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? |
| title_full_unstemmed | Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? |
| title_short | Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis? |
| title_sort | distal tibia metaphyseal fractures which is better intra medullary nailing or minimally invasive plate osteosynthesis |
| url | https://doi.org/10.1016/j.jotr.2017.09.004 |
| work_keys_str_mv | AT kawalkarabhijitchandrakant distaltibiametaphysealfractureswhichisbetterintramedullarynailingorminimallyinvasiveplateosteosynthesis AT badolechandrashekhermartand distaltibiametaphysealfractureswhichisbetterintramedullarynailingorminimallyinvasiveplateosteosynthesis |