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Original Research 
RMJ. 2020; 45(3): 629-632


Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study

Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Mokhalad Waleed Hatem, and SadeqA. Al-Mukhtar.

Abstract
Objective: To compare distal tibia nonunion plating and grafting with and without platelet-rich plasma (PRP) regarding union rate, union time and complications
Methodology:In this prospective comparative study, 32 patients with nonunion tibia from July 2017 January 2019 were divided into two groups: group A(16 cases) were treated by plating and grafting with PRP and group B (16 cases) were treated by plating and grafting only.
Results:There was higher union rate in group A related to group B (81% vs. 69%) but statistically not significant (p=0.256). Healing duration was significantly longer in group B (6.11 vs. 5.12) months(p=0.001). Regarding the postoperative pain, it was significantly less in groups A than group B.
Conclusion: Combining PRP with autologous bone graft results in a higher union rate, less healing duration, less post-operative pain, and more callus formation.

Key words: Tibial nonunion, bone graft, platelet rich plasma.


 
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How to Cite this Article
Pubmed Style

Majeed GH, Al-Edanni MS, Hatem MW, Al-Mukhtar aS. Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. RMJ. 2020; 45(3): 629-632.


Web Style

Majeed GH, Al-Edanni MS, Hatem MW, Al-Mukhtar aS. Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. http://www.rmj.org.pk/?mno=73825 [Access: September 02, 2020].


AMA (American Medical Association) Style

Majeed GH, Al-Edanni MS, Hatem MW, Al-Mukhtar aS. Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. RMJ. 2020; 45(3): 629-632.



Vancouver/ICMJE Style

Majeed GH, Al-Edanni MS, Hatem MW, Al-Mukhtar aS. Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. RMJ. (2020), [cited September 02, 2020]; 45(3): 629-632.



Harvard Style

Majeed, G. H., Al-Edanni, . M. S., Hatem, . M. W. & Al-Mukhtar, . a. S. (2020) Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. RMJ, 45 (3), 629-632.



Turabian Style

Majeed, Ghadeer H., Mohammed Sh. Al-Edanni, Mokhalad Waleed Hatem, and and SadeqA. Al-Mukhtar. 2020. Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. Rawal Medical Journal, 45 (3), 629-632.



Chicago Style

Majeed, Ghadeer H., Mohammed Sh. Al-Edanni, Mokhalad Waleed Hatem, and and SadeqA. Al-Mukhtar. "Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study." Rawal Medical Journal 45 (2020), 629-632.



MLA (The Modern Language Association) Style

Majeed, Ghadeer H., Mohammed Sh. Al-Edanni, Mokhalad Waleed Hatem, and and SadeqA. Al-Mukhtar. "Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study." Rawal Medical Journal 45.3 (2020), 629-632. Print.



APA (American Psychological Association) Style

Majeed, G. H., Al-Edanni, . M. S., Hatem, . M. W. & Al-Mukhtar, . a. S. (2020) Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study. Rawal Medical Journal, 45 (3), 629-632.








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