Plating of fibula in the management of distal metaphyseal tibial and fibular fractures - A prospective study
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 3
Abstract
The tibia is exposed to frequent injury. Distal tibial metaphyseal fractures are often the result of high-energy trauma, usually associated with distal fibular fractures. The presence of the ankle joint allows rotatory deformity after fracture, and care should be taken during reduction to correct such deformity. Fixation of fibular fractures in distal tibial metaphyseal fractures is controversial, although fixation of the fibular fracture by a plate and screws partially stabilizes comminuted fractures of the distal tibial shaft or metaphysis and considered in distal tibial fractures treated with intramedullary fixation to prevent valgus deformity even there is increased potential for delaying the tibial fracture healing. Objectives: The purpose of this study was to compare the functional and radiological outcome of fractures of distal third tibia and fibula treated by interlocking nail of tibia with fibular plating and without fibular plating. Material and Methods: A total of 24 patients who had fractures of lower third tibia and fibula are included in this study. 24 patients were divided into two groups A and B (12 patients in each group) based on fibular fixation. Results: Functional results were evaluated based on classification system for result of treatment by Johner and Wruhs criteria. Functional Outcome according to Johner and Wruhs criteria based on clinical rotational alignment, radiological valgus angulation and ankle range of movements, in group A 7 patients (58%) had good results and 5 patients (42%) had fair results. In group B 8 patients (67%) had good results and 4 patients (33%) had fair results (p=1.00 statistically not significant). Conclusion: Based on the results of the study, it was confirmed that fixation of fibula first, along with interlocking nailing of the tibia maintains limb length and decreases the malalignment and malrotation of the tibia in distal third fractures of tibia and fibula as compared with only interlocking nailing of tibia in distal third fractures of tibia and fibula.
Authors and Affiliations
Srinivas Y, Srikanth G, Vikramsimha Reddy, M E Luther
Keywords
Related Articles
- EP ID EP469499
- DOI 10.26611/1020533
- Views 88
- Downloads 0
Valgus intertrochanteric osteotomy along with use of dynamic hip screw for fixation of neck femur fractures: An experimental study from Maharashtra
Background: Various factors affecting the fracture neck femur outcome and the controversies regarding its management has always been a challenge. With advent of the automobile age and the rapid urbanization, road traffic...
Management of mucoid degeneration of anterior cruciate ligament
Background: Mucoid Degeneration of ACL, a rare pathological condition occurring due to deposition of mucinous substance is one of the poorly understood clinical condition affecting the knee joint. This study explains abo...
A randomized control trial of clinical outcome of open fractures of tibia with titanium plates vs stainless steel plate at a tertiary care center
Background: Open fractures are often associated with high energy injuries. Plating method of fractures stabilization help in early recovery. Titanium plates though costly have shown more safe than stainless steel plates...
Arthroscopic management of giant cell tumor from the posterior cruciate ligament
Tenosynovial Giant Cell Tumor originates fromsynovium of the joints, tendon sheaths, mucosal bursa and fibrous tissue adjacent tissues. These tumors predominantly involve the palmar side of the fingers and toes and seldo...
Arthroscopic anterior cruciate ligament reconstruction: comparison between hamstring graft versus patellar bone tendon bone graft
Background: Anterior cruciate ligament (ACL) tear is the most common serious ligamentous injury to the knee joint. The ACL is the primary stabilizer against anterior translation of the tibia on the femur and is important...