COMPARISION OF FUNCTIONAL AND RADIOLOGICAL OUTCOME OF DISTAL THIRD TIBIA FRACTURE MANAGED WITH IMILN vs. VA-LCP – A RETROSPECTIVE STUDY.

Abstract

Background: Distal tibia fractures are challenging injuries because of their inherent instability, scarcity of soft tissues, subcutaneous nature and poor vascularity of bone. Although, distal tibial fractures accounts for approximately 7% of all tibial fractures, the best treatment still remains controversial. The purpose of our study is to assess the radiological outcomes of distal third tibia fracture treated with surgical techniques i.e., intramedullary nailing using closed reduction internal xation technique vs. locking compression plating using minimal invasive plate osteosynthesis technique. This Retrospective, observational, hospital-based study wa Method And Materials: s conducted at tertiary health care center KOLAR, involving patients with extra articular closed tibia fractures of distal 1/3 up to 43-A3 of AO classication, from DEC 2016 - DEC2019. Demographic data and clinic-radiological data were collected and evaluated during pre- and post-procedure. Mean union time Result: in intramedullary nailing using closed reduction internal xation technique group was 17.25 ± 1.065weeks and locking compression plating using minimal invasive plate osteosynthesis technique group was 20.19 ± 1.759 weeks, which was statistically signicant with p value less than 0.05. Conclusion: The group receiving the intervention of Locking Compression plating took more time to unite distal third tibia fractures compared to the group receiving the tip locking nailing.