JOURNAL COVER PAGE
 
 
 
 
VOLUME 8,ISSUE 2
April - June 2019
 
Abstract

Distal Tibialmetaphyseal Fractures - Nail versus Plate A comparative study 

Drumil D Majmundar1,Rajesh A Solanki 2,Rishi A Solanki 3,Vijay B Odedara4,   Ashok K Bambhaniya5 ,Shrenuj P Gandhi 6

1,33rd year Postgraduate Student, D1 Department of Orthpaedics, B.J. Medical College & Civil Hospital, Ahmedabad 2Professor, Department of Orthpaedics, B.J. Medical College & Civil Hospital, Ahmedabad 4,5,62nd year Postgraduate Student, D1 Department of Orthpaedics, B.J. Medical College & Civil Hospital, Ahmedabad

ABSTRACT

BACKGROUND AND OBJECTIVES:Distal tibialmetaphyseal fracture is common in orthopedics,but the treatment of choice is still controversial. This study was performed to study the outcome and complication rates of distal tibialmetaphyseal fracture by both the methods at 1 year interval. METHODS:We have studied 20 patients in Civil hospital Ahmedabad from periods February 2016 to March 2018. The study was prospective and comparative for the methods used for management of the fracture. RESULTS: Age range of the patients was 20- 60 years. Most common mode of trauma in both the groups is road traffic accident. Associated fibula fracture was present in 18 (90%) participants in group 1 (nailing) and 17(85%) patients in group 2 (plating). Differences between two groups regarding duration of surgery are not significant. No significant intraoperative complications were noted in both groups. Time after which partial weight bearing and full weight bearing was started were significantly shorter in group-1 (p=0.005). The average time before union was 21 weeks (range, 16-36 weeks) in group 1 and 24 weeks (range,19-41 weeks), (p=0.08). Malalignment was found in 25% of patients in group 1 and 10% of patients in group 2. Angulation in group 1 was 4 degree (range, 0-12) and 1.0 degree (range, 0-9) in group2 (p=0.04). CONCLUSION:The overall results were comparable and most patients were satisfied with the results. These results indicate that both modalities of treatment deserve a place in treating distal metaphyseal fractures of tibia

Keywords: Metaphyseal Plating, Expert Nail, Distal Tibia Metaphyseal Fractures,Poller Screw


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