Extra-Articular Proximal Tibia fractures: Proximal tibia plate versus intramedullary nailing
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Extraarticular promixal tibial fracture make up to around 101 of all shaft tibia fractures which are most commonly due to high velocity injury Both conservative and operative management options are available but conservative management has resulted in many complications Intramedullary nailing and minial invasive plating are the preferred techniques of the available modalities of operative management There is not enough evidence regarding the superiority of one of the two techniques The purpose of this study is to compare these different approaches based on hospital stay blood loss union rates malnonunion postoperative range of motion of knee period of nonweight bearing infection rates and implant removal rateMaterial and MethodsThis is a randomized prospective study conducted on 50 osteoporotic patients with extraarticular proximal tibia fractures treated with minimally invasive proximal tibial plating vs intramedullary nailing at Department of Orthopedics BJ medical college Civil hospital Ahmedabad between June 2016 and May 2017Observation and ResultsPatients with intramedullary nailing had lesser duration of stay lower cost less infection rate less implamt removal rate but higher malunion and union rates compared to plating patients Operative time time to full weight bearing and range of motion was found to be similar in bothConclusionIntramedullary nailing is preferred operative modality over plating because of decreased hospital stay faster union decreased operative time and decreased infective rate However there was no significant difference in range of motion of knee rate of malunion and nonunionKeywords Proximal tibia fracture Intramedullary nailing Plating
Authors and Affiliations
Zulfikar Patel, Bhavya B. Shah, Hriday Acharya
Keywords
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- EP ID EP486036
- DOI 10.18231/2455-6777.2018.0003
- Views 83
- Downloads 0
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