Management of Distal Tibia Metadiaphyseal Fracture–Minimal Invasive Percutaneous Plate Osteosynthesis (MIPPO) by Medial LCP Versus Expert Tibia Nailing (ETN) : A Comparative Study

Dr.NAVEEN RATHOR; Dr.ANAMENDRA SHARMA; Dr.UMA SHANKAR MEENA; Dr.udaypal bishnoi; Dr.Jitendra Rathore

Volume : VII, Issue : III, March - 2017

Management of Distal Tibia Metadiaphyseal Fracture–Minimal Invasive Percutaneous Plate Osteosynthesis (MIPPO) by Medial LCP Versus Expert Tibia Nailing (ETN) : A Comparative Study

Dr. Naveen Rathor, Dr. Anamendra Sharma, Dr. Uma Shankar Meena, Dr. Udaypal Bishnoi, Dr. Jitendra Rathore

Abstract :

distal tibia fracture is often more complex because its unique anatomical characteristic of subcutaneous location with precarious blood supply and proximity to ankle joint. Due to lack of defined criteria of management and literature, the study is conducted to compare the complications and functional outcome of mippo and expert tibia nailing. Adult patient with extraarticular distal tibia fracture admitted to trauma centre in R.N.T. Medical college,Udaipur were taken for this study.this is prospective study from january 2014 to december 2016. Treatment method divided into two group– Group A (MIPPO by LCP)–25 patient Group B(expert tibia nailing)–25 patient –The mean time for fracture radiological union was 17.08 wks with MIPPO and 15.78 weeks with nailing. –The average time for full weight beå In MIPPO was 15.34 wks and 13.82 weeks in nailing. –In MIPPO, 3 patients showed superficial skin infection, 1 patient shows deep infections, 2 patients had skin necrosis and 3 patients had ankle stiffness. –In expert tibia nailing , 1 patient had superficial skin infection, 2 patient complain of anterior knee pain. –None of the patients in both the groups had non union or implant failure. both intramedullary nailing and locking plating can be safely used to treat OTA type–43A distal metadiaphyseal tibia fractures. Closed nailing has the advantage of:– –shortened operating time –early weight beå and early union –decreased wound problems We recommend fibular fixation whenever intramedullary nailing or locking plate fixation is used in distal tibiofibular fractures.