Comparison of distal tibia plate with tibia interlocking intra medullary nailing Treatment of extra-articular closed distal one-third tibia fractures.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Background: Tibia is most commonly fractured amongst all long bones due to its position and lack of soft tissue protection[1] . On the basis of location, distal tibia fractures are second in incidence next to tibia diaphyseal fractures[2]These fractures are common and are often difficult to treat because of the propensity for severe soft tissue injury, or compounding as the bone is subcutaneous in location with limited vascularity, which increases thechances of infection, wound dehiscence and non-union, and small distal fragmentation[2,3].These are difficult to control while achieving closed reduction for surgeons in terms of choosing an appropriate implant to achieve adequate union and return to early pre-injury levels. In 1970’s and 80’s widespread use of internal fixation for distal tibia fractures became popular. In1979[4] Reudi and All gower did a study of high energy injuries and found that overall results were not good. This led to methods which caused less soft tissue damage and yielded better results. The new techniques used were Intra Medullary nailing (IM nailing), hybrid fixators and biologicalminimally invasive plate osteosynthesis(MIPO).
Authors and Affiliations
Dr. Ankit Agrawal
Keywords
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