Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Distal tibia fractures are more common in young adults mostly caused due to high energy, rotational forces or direct bending forces. They constitute of up to 8% of the tibial fractures and less than 12% Of lower extremity fractures. Management is challenging because it is subcutaneous and it has precarious blood supply with soft tissue injury. To compare the outcome of extra articular fracture distal tibia managed with multidirectional Interlock nailing and plating. Single centre prospective and retrospective study was conducted in tertiary care centre in Maharashtra during the period of June 2020 to December 2021. Both sex patients were included in the study. Follow up was 18 months. Skeletally immature patients, patients with comorbidities like diabetes mellitus were excluded. AOFAS score was used to calculate functional outcome. Mode of trauma in both nailing and plating groups were road traffic accidents (75%) followed by domestic accidents (25%). The AOFAS score was slightly better in nailing group( p value significant). Post operative Infection found in 28% of patients in plating group. Mean of the functional score was found better in nailing group. Result of the study shows that these modalities can be used for treatment of distal tibia fractures. Time required for union was shorter in intra medullary nailing group. In nailing group, functional ankle scores were higher. We concluded that Intramedullary interlocking nailis a satisfactory method for managing distal tibia fractures with good functional outcome and higher union rate.
How to cite this article:
Abhiraj R. Matre, Arvind B. Goregaonkar, Rushan A. Khan and Pooja Baranwal. Study of Functional Outcome in Distal Tibia Fracture Managed with Multidirectional Nailing vs
Plating.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.286.290
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.286.290