Volume 4, 2018
|Number of page(s)||6|
|Published online||21 February 2018|
Nail or plate in the management of distal extra-articular tibial fracture, what is better? Valutation of outcomes
Department of Orthopaedics and Traumatology, “S.M. Misericordia Hospital”, University of Perugia,
2 Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy
3 Department of Medical and Surgical Sciences and Neuroscience, Section of Orthopedics and Traumatology, University of Siena, University Hospital “Santa Maria alle Scotte”, Siena, Italy
4 Department of Civil Engineering and Computer Engineering, Faculty of Medical Engineering, University of Rome Tor Vergata, Rome, Italy
5 Department of Radiology, “San Donato Hospital” University of Milano, Milano, Italy
* Corresponding author: firstname.lastname@example.org
Accepted: 14 November 2017
Introduction: Distal tibial fractures are the most common long bone fractures. Several studies focusing on the methods of treatment of displaced distal tibial fractures have been published. To date, locked plates, intramedullary nails and external fixation are the three most used techniques. The aim of our study was to compare intramedullary nail (IMN) and locked plate (LP) for treatment of this kind of fracture.
Materials and methods: We collected data on 81 patients with distal tibial fractures (distance from the joint between 40 and 100 mm) and we divided into two groups: IMN and LP. We compared in the 2 groups the mean operation time, the mean union time, the infection rate the rate of malunion and nonunion, the full weight bearing time.
Results: No patient in the two groups developed a nonunion. None of the patients obtained a fair or poor outcome. Overall 52 patients obtained an excellent result (69.3%) and 23 obtained a good result (30.6%).
Discussion: Our study results indicate a superiority of IMN over LP in terms of lower rates of infections and statistically significant shorter time to full weight bearing. Whereas LP appeared to be advantageous over IMN in terms of leading to a better anatomical and fixed reductions of the fracture and a lower rate of union complications. The two treatments achieved comparable results in terms of operation time, hospital stay, union time and functional outcomes.
Key words: Plate / Nail / Extra-articular distal tibia / Outcome / Surgical management distal tibia
© The Authors, published by EDP Sciences, 2018
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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