Evaluation of operative management of distal tibia fractures by plating

Abstract

Introduction: Tibia is the most common long bone to get involved in injuries because of almost subcutaneous position, very less cover of soft tissue and surrounding muscle mass. Despite advancement in surgical methods distal tibia fractures remains a therapeutic challenge and associated with a high complication rate. Aim: This study was aimed to evaluate the results of operative fixation of distal tibia fracture by plating in relation to union (clinical and radiological) and functional outcome. Material and methods: This study was conducted on 20 patients who were treated with operative fixation with plating and followed up over a minimum period of 6 months for complication and functional outcomes. Final evaluation for the grading of result was done according to Johner and Wruhs criteria. Results: The average time to attain radiological union was 19.78±2.39 weeks In our study 2 patients showed union at 16-17 weeks, 6 patients at 18-19 weeks, 5 patients at 20-21 weeks, 4 patients at 22-23 weeks, 2 patients at ≥24 weeks. In study 12 (60%) patients had no pain, 5 (25%) had occasional pain, 3 (15%) had moderate pain, no patients have severe pain. Incidence of Complications was 3 (15%) patients had ankle movement restriction; 1(5%) had non-union and 1(5%) had superficial skin infection. At final evaluation 11 (55%) patients showed excellent results, 6(30%) showed good, 2 (10%) showed fair, 1 (5%) had poor result. Conclusion: As this technique provides effective stabilization, good union and early mobilization with adequate ankle mobility, is recommended for better outcomes.