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.
References
- T Rüedi Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixationInjury197352130134
- HAVallier TT Le A Bedi Bedi Radiographic and clinical comparisons of distal tibia shaft fractures (4 to 11 cm proximal to the plafond): plating versus intramedullary nailing J Orthop Trauma20082253071110.1097/BOT.0b013e31816ed974
- KJPugh PR Wolinsky MP Mcandrew KD Johnson Tibial pilon fractures: a comparison of treatment methodsJ Trauma199947593741
- CM Court-Brown S Rimmer U Prakash MM Mcqueen The epidemiology of open long bone fracturesInjury199829752934
- BN Møller B Krebs Intra-articular fractures of the distal tibia Acta Orthop Scand19825369916
- TP Ruedi M Allgower Fractures of the lower end of the tibia into the ankle jointInjury196912929
- MA Mcferran SW Smith HJ Boulas HS Schwartz Complications encountered in the treatment of pilon fracturesJ Orthop Trauma199262195200
- C Collinge R Protzman Outcomes of Minimally Invasive Plate Osteosynthesis for Metaphyseal Distal Tibia Fractures J Orthop Trauma 201024124910.1097/ BOT.0b013e3181ac3426
- TP Rüedi M Allgöwer The operative treatment of intra-articular fractures of the lower end of the tibia Clin Orthop 197913810515
- P Joveniaux X Ohl A Harisboure Distal tibia fractures: management and complications of 101 cases Int Orthop (SICOT)2010345838
- S Hazarika J Chakravarthy J Cooper Minimally invasive locking plate osteosynthesis for fractures of the distal tibia--results in 20 patients Injury 2006 3798778710.1016/j.injury.2006.06.002
- JT Watson BR Moed DE Karges KE Cramer Pilon fractures. Treatment protocol based on severity of soft tissue injury Clin Orthop 20003757890
Corresponding Author
Dr Vishal Prakash
Senior Resident, RIMS, Ranchi. Department of Orthopaedics