A comparative study of distal tibia fracture treated with locking compression plate (LCP) versus expert tibia nail (ETN) - A prospective study

Dr. SK Bhaskar, Dr. Sumit Kumar Pensia, Dr. BS Rao
2020 International Journal of Orthopaedics Sciences  
Objective: Distal tibia fractures can present a management challenge due to their instability, subcutaneous location and precarious blood supply. This study is conducted between two method, distal tibia fracture treated by locking compression plate and expert tibia nail to compare functional outcomes and complications. Material and Method: The study conducted from September 2017 to September 2019. 60 patient with distal tibia extrarticular close fracture AO type 43A were randomly selected which
more » ... was admitted to trauma center JLN medical college ajmer. 30 of them were treated with locking compression plate and rest 30 with expert tibia nail. Patient were follow up for 12 month and evaluated by Olreud & Molander scoring system. Results: The mean age of patient was 48.4 years and majority were male (55%).Majority of patient had associated fibula fracture 83.33 %. Mean time for surgery was 74.63min in LCP which was significantly less (P value= 0.00252) in ETN 61.76 min. Average time for union 18.46 weeks in ETN compared to 22.46weeks in LCP which was significant (P value= 0.001698). Average time for full weight bearing in ETN was 10.6 weeks and in LCP was 13.56 weeks which was significant less in ETN (P value0.00356).The Olerued & Molender score were significant higher( pvalue0.0486) in ETN. In plating 5 patients showed superficial skin infection, 3 deep infection, 2 skin necrosis and implant exposure&5 had ankle stiffness whereas in nailing only 4 pt showed superficial skin infection and 9 had anterior knee pain. Conclusion: The study found ETN was more successful in term of shortened operating time, early weight bearing and early union, low infection rate and ankle stiffness.
doi:10.22271/ortho.2020.v6.i1c.1847 fatcat:p4ordw5ggjb7ne4zg4cow2es2u