Comparative Study of Locking Plate Fixation versus Intramedullary Nail Fixation for a Displaced Extra Articular Fracture of Distal Tibia in Adults
Abstract— Tibial fractures are the most common long bone fracture. Among tibial fractures distal tibial fractures are quite common. There are many modalities tried to manage distal tibial fractures. This study was conducted on 60 distal tibial fracture cases to compare results of Intramedullary Nail Fixation (IMNF) and Distal Tibia Locking Compression Plate Fixation (DTLCPF) for Displaced Extra Articular Fracture of Distal Tibia in Adults. It was found that in intramedullary nail (IMNF) group
... nail (IMNF) group full mean weight wearing time was significantly lesser than DTLCPF i.e. 7.70 weeks in IMNF group and 14.87 weeks in DTLCPF group. Mean time at which visible callous was seen was also lesser in IMNF group than DTLCPF i.e 9.30 weeks v/s 11.90 weeks. Mean time of union was without significant difference i.e. 16.13 weeks in IMNF and 17.43 weeks in DTLCPF. Mean value of DRI score is 13.00 in IMNF and 17.53 DTLCPF group. Complication rate was similar (16.67%) in both the groups. Although infections are more in IMNF group and mal-union was more in DTLCPF group but type of complication were no varies with significant difference. According to Johner and wruh's criteria IMNF group 76.66% had good results whereas in DTLCPF 83.33% had good results which was without significant difference. It can be concluded from study that both procedure manage these type of fractures and results are well comparable without significant difference.