Title: Outcomes of different modalities of treatment of distal tibia fractures

Authors: Dr Vishal Prakash, Dr Neelu Singh, Dr L.B. Manjhi

 DOI: https://dx.doi.org/10.18535/jmscr/v10i10.20

Abstract

Introduction: The aim of our study is to compare and analyse the best modality of treatment for management of distal tibial fractures. Distal tibia fractures are usually injuries due to high velocity trauma with damage to the soft tissue. The best modality of treatment for distal tibial fracture is that method in which we achieve a good reduction and stability; and minimise soft tissue compromise.

Material and Methods: Study was conducted at Rajendra Institute Of Medical Sciences, Bariatu, Ranchi. This study consists of 30 patients of fractures of distal tibia and was performed from November 2020–October 2022. Required consents from all the patients were taken. Data was collected from all the patients during their hospital stay and regular follow-up was done. 

Results: Patients were treated with MIPO (Minimally Invasive Percutaneous Osteosynthesis) and External Fixators and had average AOFAS (American Orthopaedic Foot and Ankle Society) score 88.1 and70.5 respectively .Treatment was also done with Intra-Medullary Interlocking Nail and had mean AOFAS score of 77.2. 

Conclusion:  We have analysed overall results including, radiological assessment, functional recovery and complications related to different modalities of treatment of fractures of distal tibiain our study.

Keywords: MIPO, AOFAS score, IM Nail, Gustilo Anderson, AO classification.

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Corresponding Author

Dr Vishal Prakash

Senior Resident, RIMS, Ranchi. Department of Orthopaedics