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