Plate fixation versus intramedullary nailing for displaced extra-articular distal tibia fractures: a system review

2013 ◽  
Vol 25 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Bo Li ◽  
Yuehua Yang ◽  
Lei-Sheng Jiang
Keyword(s):  
Intramedullary Nailing ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Tibia Fractures ◽  
Distal Tibia Fractures ◽  
System Review

scholarly journals Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis?

2018 ◽  
Vol 24 (1) ◽  
pp. 66-71
Author(s):  
Kawalkar Abhijit Chandrakant ◽  
Badole Chandrashekher Martand
Keyword(s):  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Distal Tibia ◽  
Tibial Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Early Weight Bearing ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

Introduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPPO technique. Methods The study was conducted between Jan 2011 to Dec 2012. 63 patients with extra-articular distal tibia fracture treated with intramedullary nailing and MIPPO technique were reviewed retrospectively and clinical outcome was evaluated according to American Orthopaedic Foot and Ankle Score. Results 31 patients were treated with intramedullary nail & 32 with MIPPO technique. Fibular fixation was done in cases where fibular fracture was at or below the level of tibial fractures. We found no difference in terms of time for fracture union, mal-union, non-union, duration of surgery and amount of blood loss. But there was significant difference in terms of infection and duration of hospital stay. Also weight bearing was possible much earlier in intramedullary group as compared to the MIPPO group. Conclusion Thus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures & helps in early weight bearing and ambulation of patient with fewer complications.

F3.6 Comparisons of extra-articular distal tibia fractures: percutaneous locked plating versus intramedullary nailing

Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S11-S12
Author(s):  
F. Bilgili ◽  
S. Sökücü ◽  
A. Kilic ◽  
A.S. Parmaksizoglu ◽  
S.K. Çepni ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Distal Tibia ◽  
Locked Plating ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

scholarly journals Two Stage Minimally Invasive Method with Locking Plate Application on Distal Tibia Fractures - Our Experience

2017 ◽  
Vol 5 (5) ◽  
pp. 630-634
Author(s):  
Ilir Hasani ◽  
Igor Kaftandziev ◽  
Slavco Stojmenski ◽  
Simon Trpeski ◽  
Hristijan Kostov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Functional Outcomes ◽  
Locking Plate ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Locking Plate Fixation ◽  
Two Stage ◽  
Tibia Fractures ◽  
Invasive Method ◽  
Distal Tibia Fractures

INTRODUCTION: In the past distal tibia fractures, including intraarticular fractures, frequently led to poor functional outcomes. The Ruedi-Allgower four steps open method, and later the Patterson and Sirkin recommendations for delayed operative treatment has made a drastic advancement in the treatment of these fractures. The two-stage minimally-invasive protocol using locking plate fixation proved a historical turning point, improving functional results to the highest levels compared to all other methods.AIM: To present the superior results of the two-stage minimally-invasive method using locking plate fixation, making this a historic step forward in treating distal tibia fractures.MATERIAL AND METHODS: A prospective longitudinal study, collecting data from Traumatology-Clinic in the 2014-2016 periods, available for nine-month follow-up. Twenty-three patients were finally included in the study.RESULTS: In analysing the data collected, we focused our attention on the final functional outcomes as indicated by dorsiflexion nine months after injury and also according to the AOFAS Ankle-Hindfoot Scale. Results were excellent with no or minimal consequences. Where complications were present, these were benign and did not require further surgery.CONCLUSION: We believe this modern method for the treatment of distal tibia fractures should be applied routinely and considered as the gold standard in this domain.

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