Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research 
RMJ. 2021; 46(3): 568-571


Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study

Niaz Hussain Keerio, Nuresh Kumar Valecha, Najeeb ur Rehman, Mohsin Aijaz Soomro, Ajmal Khan Silro, Muhammad Faraz Jokhio.

Abstract
Objective: To compare the outcome of the two main treating modalities for Distal Tibia Fracture (Nailing, and Plating).
Methodology: This prospective comparative study was performed at Department of Orthopedics, Muhammad Medical College and Hospital, Mirpurkhas from March 2019 to March 2020. Out of 60 patients with distal tibia fractures, 30 were treated with Plating, and 30 with Intramedullary Nailing. Variables considered were total weight bearing, bone union, infection, alignment, need for secondary procedures, and the functional outcome after one year of follow up.
Results: Patient ages ranged from 20 to 78 years. The most common forms of injury were road traffic accidents (53.33%) and domestic accidents (46.66%). The time after the start of full weight bearing support was much shorter in the Nailing group (p=0.001). The average radiological union time in the nailing group was 18.911.20 weeks (range 19-23 weeks) and 24.081.17 weeks (range 22-30 weeks) in the plating group (p=0.001). Union was delayed in six patients in the plating group. Postoperative infection developed in 8(26.7%) in the Plating group, and none in Nailing group. Misalignments was detected in 2(6.6%) patients of Nailing group, and none in Plating group. After applying functional score of Olerud and Molander after 1 year, it was found that the average score in the Nailing group was 84.5% and 75.3% in Plating group.
Conclusion: Intramedullary interlocking nail was a safe and satisfactory method of treatment of extra- articular distal third of the tibia shaft fracture with good functional results and relatively low complications and high union rates. The platting of distal tibia has so many complications specially related to skin infection and wound dehiscence.

Key words: Tibia, tibial fractures, intramedullary nailing, metal plating.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Niaz Hussain Keerio
Articles by Nuresh Kumar Valecha
Articles by Najeeb ur Rehman
Articles by Mohsin Aijaz Soomro
Articles by Ajmal Khan Silro
Articles by Muhammad Faraz Jokhio
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Keerio NH, Valecha NK, Rehman Nu, Soomro MA, Silro AK, Jokhio MF. Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. RMJ. 2021; 46(3): 568-571.


Web Style

Keerio NH, Valecha NK, Rehman Nu, Soomro MA, Silro AK, Jokhio MF. Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. http://www.rmj.org.pk/?mno=106883 [Access: August 06, 2021].


AMA (American Medical Association) Style

Keerio NH, Valecha NK, Rehman Nu, Soomro MA, Silro AK, Jokhio MF. Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. RMJ. 2021; 46(3): 568-571.



Vancouver/ICMJE Style

Keerio NH, Valecha NK, Rehman Nu, Soomro MA, Silro AK, Jokhio MF. Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. RMJ. (2021), [cited August 06, 2021]; 46(3): 568-571.



Harvard Style

Keerio, N. H., Valecha, . N. K., Rehman, . N. u., Soomro, . M. A., Silro, . A. K. & Jokhio, . M. F. (2021) Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. RMJ, 46 (3), 568-571.



Turabian Style

Keerio, Niaz Hussain, Nuresh Kumar Valecha, Najeeb ur Rehman, Mohsin Aijaz Soomro, Ajmal Khan Silro, and Muhammad Faraz Jokhio. 2021. Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. Rawal Medical Journal, 46 (3), 568-571.



Chicago Style

Keerio, Niaz Hussain, Nuresh Kumar Valecha, Najeeb ur Rehman, Mohsin Aijaz Soomro, Ajmal Khan Silro, and Muhammad Faraz Jokhio. "Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study." Rawal Medical Journal 46 (2021), 568-571.



MLA (The Modern Language Association) Style

Keerio, Niaz Hussain, Nuresh Kumar Valecha, Najeeb ur Rehman, Mohsin Aijaz Soomro, Ajmal Khan Silro, and Muhammad Faraz Jokhio. "Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study." Rawal Medical Journal 46.3 (2021), 568-571. Print.



APA (American Psychological Association) Style

Keerio, N. H., Valecha, . N. K., Rehman, . N. u., Soomro, . M. A., Silro, . A. K. & Jokhio, . M. F. (2021) Comparison between Plating and Intramedullary Nailing in the treatment of distal tibia fractures: A prospective comparative study. Rawal Medical Journal, 46 (3), 568-571.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED,  Scopus and Web of Science

                     Approved by the Higher Education Commission of Pakistan 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.