Assessment of efficacy of Expert Tibial nailing and Distal Tibial Plating in managing patients with Distal 1/3rd extraarticular Tibial Fractures

Abstract

Background: The proximal portion of the tibia consists of a medial and lateral condyle, which combine to form the inferior portion of the knee joint. Distal end is shaped like a rectangular box which presents five surfaces; it is prolonged downward on its medial side as a strong pyramidal process, the medial malleolus. Hence; the present study was undertaken for assessing the efficacy of Expert Tibial nailing and Distal Tibial Plating in managing patients with Distal 1/3rd extraarticular Tibial Fractures. Materials & methods: A total of 20 patients with presence of Distal 1/3rd extraarticular Tibial Fractures were enrolled. Complete demographic and clinical details of all the patients were obtained. All the patients were divided into two study groups with 10 patients in each group as follows: Group 1: Expert Tibial nailing group and Group 2: Distal Tibial Plating group. All the patients were operated according to their respective groups. Patients were followed up for 6 months after operation and evaluated as per Johner and Wruss Criteria. All the results were summarized in Microsoft excel sheet and were analyzed by SPSS software. Results: Mean operative time among the patients of group 1 and group 2 was 88.3 minutes and 108.6 minutes respectively. Significant results were obtained while comparing the mean operative time among the patients of both the study groups.. Mean fracture union time among the patients of group 1 and group 2 was 18.6 weeks and 22.9 weeks respectively. Significant results were obtained while comparing the mean fracture union time among the patients of both the study groups. Significantly better outcome was noticed among the patients of group 1 in comparison to group 2 patients. Conclusion: From the above results, the authors concluded that efficacy of Expert Tibial nailing was better in managing patients with Distal 1/3rd extraarticular Tibial Fractures.