A comparative study of locking plate by MIPO versus closed interlocking intramedullary nail in extra-articular distal tibia fractures

Abstract

Background: Distal tibia fractures have the second highest incidence of all tibia fractures after the middle third fracture of the tibia. Management of the distal tibia fractures is the most challenging due to its superficial nature and propinquity to the ankle joint. There are various management methods of distal tibia fractures. Distal tibia fractures can be managed using closed reduction and casting or surgical interventions such as closed reduction and intramedullary nailing or open reduction and internal fixation with plating or closed reduction and percutaneous plating or external fixators. Methods: A comparative study of locking plate by MIPO versus closed interlocking intramedullary nailing in extra-articular distal tibia fractures was undertaken among 30 patients with closed extra-articular distal tibia fractures, in the department of orthopedics, Ruby Hall Clinic, Pune from March 2014 to March 2015. The results were assessed using Johner and Wruh’s criteria.Results: 15 patients were treated with closed interlocking intramedullary nail and 15 patients with MIPO technique. The patients were operated. No difference was observed in terms of duration of surgery, time for fracture union and malunion. Difference was observed in the terms of total weight bearing after surgery, infection and other complications. Conclusion: It is observed that interlocking nailing is better in terms of early total weight bearing, fast union, and decreased risks of complications. Thus, it is a better choice for patient undergoing the treatment for extra- articular distal tibia fractures.