Comparison of the results of expert tibial nailing with results of distal tibial plating in patients with distal 1/3rd extraarticular tibial fractures

Singla, Ashok; Goyal, Deepak; Sandhu, KS; Kahal, Karamdeep Singh; Dharmpal,

doi:10.22271/ortho.2021.v7.i3k.2826

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…The road traffic accident was the major mode of injury in both groups causing distal 1/3 rd shaft of diaphysio-metaphyseal fractures of tibia. Fracture type was based on AO fracture classification-12 cases classified to 42A (11 in TLIMN group and 1 in PCALP), 13 [5][6][7][8] Thus, both the study and groups were comparable in terms of age wise distribution of the patients. Thus, we concluded that distal 1/3 rd shaft tibia fractures are more common in middle age.…”

Section: Resultsmentioning

confidence: 99%

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Comparative study of functional outcome of distal one-third shaft tibia fractures treated with tip locking tibia nailing versus precontoured anatomical locking plate

Daruwala

Kulkarni²,

Deokar³

et al. 2023

Int J Res Orthop

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Background: The distal 1/3rd shaft tibia extra-articular fractures are treated with both tip locking intra-medullary nailing (TLIMN) and precontoured anatomical locking plates (PCALP). The aim of this study was to compare the results of TLIMN and PCALP in distal tibia fractures and to determine dominant strategies. The complications and functional outcome in both groups were compared. Methods: Forty patients with distal 1/3rd shaft tibia were randomly assigned to TLIMN (group 1) and PCALP group (group 2). The functional outcomes were evaluated using American Orthopaedic Foot and Ankle Society (AOFAS) score. Complications like infection, delayed union, non-union, malunion, hardware prominence and secondary interventions were compared. Results: The average union time was 15.05±3.33 weeks in group 1 and 13.4±2.46 weeks in group 2 (p=0.045). The mean AOFAS score at 1 year follow up was 89.8±6.13 in group 1 and 89.1±6.15 in group 2 (p=0.262). Five patients in group 1 and one in group 2 had mal-alignment. Deep infection was present in one and superficial infection was present in two cases in group 2. Four patients in group 1 developed anterior knee pain and five patients in group 2 had hardware prominence. Conclusions: We conclude that tip locking intra-medullary nail is a reliable and satisfactory method for treatment of fractures of distal 1/3rd shaft tibia AO type 42A, 42B and 42C fractures with good functional outcomes and high union rates with comparatively low complications. Prevalence of malunion was higher in TLIMN group and hardware prominence was more prevalent in PCALP group. Implant removal are more in PCALP group mostly due to implant irritation.

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Section: Resultsmentioning

confidence: 99%

“…The majority of the patients in both groups belonged to the age group of 18-35 years. Singla et al in study of 40 patients, mean age were 48.12 years in expert tibia nailing group and 49.71 years in distal tibia plating group 8. Meena et al the patients were in the range of 21 to 70 years, with mean age being 43.18 years.…”

mentioning

confidence: 94%

Comparative study of functional outcome of distal one-third shaft tibia fractures treated with tip locking tibia nailing versus precontoured anatomical locking plate

Daruwala

Kulkarni²,

Deokar³

et al. 2023

Int J Res Orthop

View full text Add to dashboard Cite

show abstract

“…We found that mean operative time (min) was 92.3, blood loss (ml) was 121.5, hospital stay (days) was 11.4, healing time (weeks) was 9.2 and time of recovery to work (days) was 11.4 days. Singla et al [13] compared the results of expert tibial nailing with results of distal tibial plating in patients with distal 1/3rd extraarticular tibial fractures. The mean age of the patients of the expert tibial nailing group and distal tibial plating group was 48.12 years and 49.71 years respectively.…”

Section: Methodsmentioning

confidence: 99%

Assessment of proximal tibial fractures managed with locking compression plate

Digra,

Verma,

Singh

et al. 2023

Nat. J. Clin. Orthop.

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Background: Proximal tibial fractures refer to fractures that occur in the upper part of the tibia, which is the larger bone in the lower leg. The present study was conducted to assess management of proximal tibial fractures by locking compression plate. Materials & Methods: 70 proximal tibial fractures of both genders were treated with MIPO and ORIF. Parameters such as side, type of fracture, type of reduction, principal, operative time, blood loss, hospital stay, healing time etc. were recorded. Results: Out of 70 patients, males were 40 and females were 30. Side was left in 32 and right in 38. Type of fracture was pure cleavage in 29, cleavage with depression in 15, central depression in 5 cases, medial condyle fracture in 6, bicondylar fracture in 8 and metaphysio diaphyseal dissociation in 7 cases. Method of reduction was MIPO in 48 and ORIF in 22. Principle of reduction was compression in 42, bridging in 18 and combined in 10 cases. The difference was significant (p<0.05). The mean operative time (min) was 92.3, blood loss (ml) was 121.5, hospital stay (days) was 11.4, healing time (weeks) was 9.2 and time of recovery to work (days) was 11.4 days. Common complications were infection in 4, varus deformity in 2, knee instability in 1 and knee joint stiffness in 3 cases. The difference was significant (p<0.05). Conclusion:Open reduction and internal fixation with LCP is an excellent technique for treatment of proximal tibia fractures.

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Comparison of the results of expert tibial nailing with results of distal tibial plating in patients with distal 1/3rd extraarticular tibial fractures

Cited by 2 publications

References 13 publications

Comparative study of functional outcome of distal one-third shaft tibia fractures treated with tip locking tibia nailing versus precontoured anatomical locking plate

Comparative study of functional outcome of distal one-third shaft tibia fractures treated with tip locking tibia nailing versus precontoured anatomical locking plate

Assessment of proximal tibial fractures managed with locking compression plate

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