Intramedullary nailing versus minimally invasive plate osteosynthesis for distal extra-articular tibial fractures: a prospective randomized clinical trial

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Atilla PolatFerhat Guler

Abstract

The purpose of this randomized clinical trial is to compare intramedullary nailing (IMN) versus minimally invasive plate osteosynthesis (MIPO) for the treatment of extra-articular distal tibial shaft fractures. Twenty-five consecutive patients with distal extra-articular tibial fractures which were located between 4 and 12 cm from the tibial plafond (AO 42A1 and 43A1) were randomly assigned into IMN (n: 10) or MIPO (n: 15) treatment groups. All patients were followed for at least 1 year. Foot function index, time to weight bearing, union time, duration of operation, length of incision, intra-operative blood loss, intra-operative fluoroscopy time, rotational and angular malalignment, rate of infection, secondary interventions and complications were compared between groups. All patients completed the trial and were followed with a mean of 23.1 ± 9.4 months (range 12-52). Foot function index, weight bearing time, union time, rate of malunion, rate of infection and rate of secondary interventions were all similar between groups (p = 0.807, p = 0.177, p = 0.402, p = 0.358, p = 0.404, p = 0.404, respectively). Intra-operative blood loss, length of surgical incision, radiation time and rotational malalignment were higher in the IMN gr...Continue Reading

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Citations

Dec 15, 2015·Journal of the Mechanical Behavior of Biomedical Materials·Jalil Nourisa, Gholamreza Rouhi
Mar 29, 2016·Case Reports in Vascular Medicine·Kemal GökkuşMurat Baloglu
Sep 15, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·E EkmanM Saltychev
Jul 6, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ankur KariyaAnuj Mundra

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