Comparative Study of Interlock Nailing Versus Dynamic Compression Plating in Fractures of Tibia – A Study of Sixty Cases

Abstract

Background: In modern era high speed vehicular traffic accidents fractures of the tibial shaft are common injuries among the long bones and mainly affect young adults, i.e. individuals at their peak of physical and work capacity. The present study was a comparative study between interlock nailing and Dynamic compression plating (DCP) in the treatment of fractures of tibia. The purpose of the study was to determine the outcome and comparing the two different modalities of the treatment. Material methods: The Study includes sixty consecutive patients with fracture tibia [ closed and open Gustio & Anderson grade 1 only] treated with Dynamic compression platting and interlock nailing 30 in each group and were assessed clinically and radiologically and followed up to three years. Results: 90% patients had good to excellent results with 10% having fair results and no poor results. In DCP group there were 10 excellent, 15 good and 5 fair results whereas in interlock nailing group 15 patients had excellent, 14 patients had good results and 1 patient showed fair result. Conclusion: We conclude that DCP is a better mode of fixation for proximal and distal tibial facture and interlock nailing is ideal implant in diaphysial and segmental fractures. Key words: Fracture, Tibia, Interlock nail, DCP, Implants, Diaphysial fracture. Mesh Terms: Adult, Fracture fixation, Age, Male female, Infection