A Comparative Study of Management of Closed & Comminuted Distal TibialFractures with Intramedullary Inter Locking Nail V/S MIPO


Authors : Dr. Uwais.P; Dr. R.Lakshmiram; Dr. C.Hari Krishna; Dr.M.Athmaram; Dr.Koti Satish

Volume/Issue : Volume 8 - 2023, Issue 2 - February

Google Scholar : https://bit.ly/3IIfn9N

Scribd : https://bit.ly/3EOkTbA

DOI : https://doi.org/10.5281/zenodo.7688831

This study was performed to assess and compare the functional outcomes of fractures in Group A (treated with MIPO plating) versus Group B (treated with intramedullary nailing) and To assess the complications of both procedures.  Methods A total of 40 patients will be taken for study as per inclusion criteria. The patients will be divided into two groups 20 cases each. Group A will be treated with MIPO plating and group B will be treated with intramedullary nailing. Pre-operatively anteroposterior and lateral radiographs were obtained in all cases and computed tomography scans in patients with the most complexfractures to rule out intra articular extension. Follow-up evaluations were carried out at 3, 6, and 12 weeks and 3 and 9 months postoperatively, using Olerud and Molander functional score.  Results This study shown that IMILN has better outcome as it offers advantage in terms of mean operating time, less invasive surgery, hospital stay, partial & full weightbearing time and union time. In osteosynthesis of displaced extra-articular lower tibia meta-diaphyseal fractures OTA/AO Type 42A- C (distal) & 43-A both modalities nailing as well as plating deserve a place.

Keywords : Distal Tibial Fractures, Minimally Invasive Plate Osteosynthesis (MIPO), IMIL (Intra Medullary Interlocking) Nail, Olerud and Molander Functional Score.

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