The Comparison of outcome of locking plate fixation and closed intramedullary inter locking Nail in the management of extra articular distal tibial fractures in Telangana Population

Telangana Population

  • S D G K Kaleelulla Assistant Professor Department of Orthopaedics Bhaskar Medical College Hyderabad-500075 Telangana
Keywords: locking plate, Weight bearing, image intensifier, Telangana, ILN (Inter locking Nail)


Background: Distal tibial fractures are very commonly encountered by orthopaedic surgeons.Management of distal tibia fractures are most challenging due to its superficial nature and propinquity to the ankle joint. Hence two different techniques were compared to study rate of healing, functional outcome and complications.

Method: Out of 50 patients 25 were operated with inter looking nail and 25 with locking plate fixation patients were regularly followed up to 1 year post-operatively, assessed clinically and radiology to rule out any complications and treated properly.

Results:Duration of surgery in ILN technique 18 (72%) patients had 40-60 minutes in plating technique, 9 (36%) patients had 40-60 minutes, 9 (36%) patients had 60-80 minutes and 7 (25%) patients had > 80 minutes surgery. More duration of weeks for body weight bearing after surgery was observed in plating technique (>14 weeks) Union of fracture was earlier in ILN than plating technique 16 (± 1.46) in ILN, 20.7 in plating and p<0.00. Post-surgical complication was more or less same in both patients.

Conclusion: Closed intermedullary interlocking Nail technique was more preferred than plating technique because of early weight bearing, early union of fractures and decreased implant related problems.


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