Randomised prospective comparison of intramedullary nailing V/S plating in distal tibial metaphyseal fractures

Abstract

Background: Tibial fractures are the most common long bone fractures, while distal tibial fractures are even more complicated due to their proximity to the ankle and the close relationship with thin, soft tissue envelope and severe comminution. Objectives: To assess and compare fractures' functional outcomes in Group A (treated with plating) versus Group B (treated with intramedullary nailing). To assess the efficacy, advantages, and disadvantages of the treatment modalities and their complications. Materials and Methods: This is a comparative study done from October 2019 to March 2021 in the Department of Orthopaedics, Narayana general hospital, attached to Narayana Medical College, Nellore. In this study period total of 40 patients were taken for study as per inclusion criteria. The patients are randomized into two groups of 20 cases each. Group A treated with plating, and Group B was treated with intramedullary nailing. Results: In our study, good results were observed in Intramedullary nailing groups (51.43%) when compared with the plating group (40.3%). These differences were statically significant with a p-value (p