Comparison of minimally invasive plate versus intramedullary nailing in the treatment of distal tibial metaphyseal fractures

Keywords:

Fracture ; distal tibia ; intramedullary nailing ; minimally invasive plate osteosynthesis


Published online: Feb 09 2021

Ferhat Say, Erkan İnkaya, Deniz Gürler, Murat Bülbül, Emre Gültaç

From Department of Orthopaedics and Traumatology, Faculty of Medicine, Muğla Sitki Koçman University, Training and Research Hospital, Muğla, Turkey

Abstract

Treatment was made by locked anatomic tibial plate with MIPO technique on 17 patients (Group1), closed intramedullary nailing on 18 patients (Group2). The cases were evaluated with the AFAS score.

The median operation duration was 90(59-139)mins in Group1, 77.5(59-145)mins in Group2. The median union time was 15(11-20)weeks in Group1, 18(12-22)weeks in Group2. The median AFAS score was 84(47-90) in Group1, 82(65-90) in Group2. The most common complication was infection in Group1 and malunion in Group2. Only the difference in operation time was found to be statistically significant between the two groups

The clinical and functional results of both treatment methods were similar and effective. Malalignment should be kept in mind when treating with intramedullary nail; infection when treating with MIPO.

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About this issue

Volume 86, e-supplement 2.

Jun 2020.

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