Comparative study of functional outcome of minimally invasive plate Osteosynthesis versus open reduction and internal fixation with locking compression plate in distal 1/3rd shaft tibia fractures (Extraarticular)

Abstract

Background: The present study was a prospective, interventional and randomized study that was conducted on total of 30 patients with distal 1/3rd shaft tibia fractures (extraarticular) in Department of Orthopedics, GMC and RAJINDRA HOSPITAL Patiala after fulfilling the inclusion criteria. Materials and Methods: The patients were divided into two groups randomly i.e., group A and group B with 15 cases in each group. Patients in group A were treated with open reduction and internal fixation (ORIF) with locking compression plate (LCP) technique and patients in Group B were treated with minimally invasive plate Osteosynthesis (MIPO). Cases were evaluated and compared as per loss of blood, operative time, fracture union time and time taken for recovery to work. Functional evaluation was done as per Tenny and Wiss criteria. Results: In the ORIF group, ten cases got excellent grading while three were good, one fair and one poor. Whereas ten cases got excellent and five fair grading in the MIPO technique group. Conclusion:As per our conclusion, ORIF and MIPO techniques for extra articular fracture distal 1/3 rd tibia (AO type A) did not have significant differences in functional outcome.