COMPARATIVE VARIATION OF RESULTS IN MANAGEMENT OF EXTRAARTICULAR DISTAL TIBIAL FRACTURES BY INTRAMEDULLARY NAILING VS MINIMAL INVASIVE PLATE OSTEOSYNTHESIS

Dr. Pawan Kumar Singh, Dr. Paras Gupta, Dr. Praveen Raj Saraogi

Abstract


Background: Distal metadiaphyseal tibial fractures are commonly seen lower limb fractures. Intramedullary nail fixation (IMN) and Minimal invasive plate Osteosynthesis (MIPO) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. This meta-analysis was designed to compare the success of IMN and MIPO fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery

Aims: To evaluate the results of management of distal tibial fractures by Intramedullary nail and minimal invasive plate osteosynthesis.

Methods: The present study will be conducted on patients attending Emergency and outpatient department of Orthopaedics, M.L.B. Medical College, Jhansi for the period of March 2018 to Aug 2019. A minimum of 30 cases will be taken in the study those who are fracture distal tibia.

Result:  In my thesis, we take total 60 patient which divided into two group of 30-30 patients. Group One for In Minimal invasive plate Osteosynthesis (MIPO)  and Group Two for Intramedullary nail. Only significant difference seen in my study in length of incision in nailing length of incision is less as compare to plating group.

Conclusion: The study of management of distal tibia fracture by MIPO and IMN. I found that no significant difference in final result. In MIPO group only 2 patient have superficial infection and IMN group only 1 patient has superficial infection that means the rate of infection more in plating as compare to nailing.


Keywords


Distal tibial fracture, Intramedullary nail, Plate.

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