Comparison of Plating Versus Intramedullary Nailing for the Treatment of Distal Tibial Metaphyseal Fractures: A Longitudinal Study
Abdul Rehman Khan, Zahoor Illahi Soomro, Hussain Bux Palh, Naveed Ahmed Solangi, Sajjad Hussain Bhatti, Muhammad Shuaib Chandio, Niaz Hussain Keerio
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ABSTRACT
Aim: To evaluate the
functional outcomes of intramedullary interlocking nailing and minimally
invasive percutaneous plate osteosynthesis.
Study design: A longitudinal study
Place and Duration: This study was
conducted at Dow
University of Health sciences Karachi Pakistan from January 2019 to January
2021.
Methodology: A total of 100
patients were recruited for surgical procedures. All the patients were asked to
visit the hospital at the 6th week, 3rd month, and 6th month of surgery for
radiography assessment and for analyzing the knee and joint movements. When
callus became visible on radiographs patients were allowed for partial
weight-bearing. When callus was visible in 3 to 4 quadrants we considered it as
fracture union on both anteroposterior and lateral views with no pain and
mobility. Bone grafting was considered in case of fractures nonunion.
Functional assessment was taken place after one year of surgery.
Results: We observed that the
IMIL group attained fracture union in an average duration of 25.90. But no
statistical difference was observed between both groups. IMIL procedure has
less duration of hospital stay when compared with MIPPO (6.40 (4–9) ± 1.19 vs
6.82 (5–10) ± 1.27. We observed 5° malunion in the MIPPO group whereas the IMIL
group reported 10° malunion with a significant difference of 0.001.
Conclusion: Our study concluded
that the plating technique can better restore the distal tibia alignment but
also has chances of postoperative complications which would be manageable.
Keywords: Intramedullary
interlocking nailing, minimally invasive percutaneous plate osteosynthesis, distal
tibia
ABSTRACT
Aim: To evaluate the
functional outcomes of intramedullary interlocking nailing and minimally
invasive percutaneous plate osteosynthesis.
Study design: A longitudinal study
Place and Duration: This study was
conducted at Dow
University of Health sciences Karachi Pakistan from January 2019 to January
2021.
Methodology: A total of 100
patients were recruited for surgical procedures. All the patients were asked to
visit the hospital at the 6th week, 3rd month, and 6th month of surgery for
radiography assessment and for analyzing the knee and joint movements. When
callus became visible on radiographs patients were allowed for partial
weight-bearing. When callus was visible in 3 to 4 quadrants we considered it as
fracture union on both anteroposterior and lateral views with no pain and
mobility. Bone grafting was considered in case of fractures nonunion.
Functional assessment was taken place after one year of surgery.
Results: We observed that the
IMIL group attained fracture union in an average duration of 25.90. But no
statistical difference was observed between both groups. IMIL procedure has
less duration of hospital stay when compared with MIPPO (6.40 (4–9) ± 1.19 vs
6.82 (5–10) ± 1.27. We observed 5° malunion in the MIPPO group whereas the IMIL
group reported 10° malunion with a significant difference of 0.001.
Conclusion: Our study concluded
that the plating technique can better restore the distal tibia alignment but
also has chances of postoperative complications which would be manageable.
Keywords: Intramedullary
interlocking nailing, minimally invasive percutaneous plate osteosynthesis, distal
tibia