Outcome Analysis of Surgical Management of Distal 1/3rd TIBIA Fractures

Abstract

Introduction: The management of distal tibia fractures has always held a particular interest for orthopedic surgeons . Distal Tibia fractures continue to be one of the most controversial fractures that we treat. In Plate osteosynthesis for fractures of the distal tibia is often associated with delayed healing, infection, and hardware problems with MIPPO [Minimally invasive percutaneous plate osteosynthesis] method rate of delayed union and infection rate is come down. Locked intramedullary nailing is the treatment of choice for closed simple diaphysial fractures of the tibial distal 1/3rd shaft. Aim: To evaluate the surgical outcome of both intraarticular and extraarticular distal 1/3rd tibia fracture. Material and method: This study consisted of 50 patients undergoing fracture distal 1/3rd tibia surgery. Patients operated between January 2013 to June 2017 were included and were followed by both retrospectively and prospectively from January 2013 to June 2018.Results: Number of case were taken randomly in our study we have 13 cases done with Nailing technique 23 with plating and 14 of MIPO on the basis of intra and extraarticular basis Mean duration of union of fracture with MIPPO was 18.71 weeks which is better than Plating and nailing which was 19.21 and 21.38 weeksConclusion : Minimally invasive plate osteosynthesis (MIPO) technique using stainless steel Medial Locking compression plate are found a rapid healing by secondary fracture union with few complication and hence achieving strong bone union across the fracture site due to inherent benefits of less tissue damage and minimal disturbance of fracture site biology.