Comparative Analysis of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Distal Tibia Fractures
10.12671/jkfs.2018.31.3.94
- Author:
Ho Min LEE
1
;
Young Sung KIM
;
Jong Pil KIM
;
Phil Hyun CHUNG
;
Suk KANG
;
Kaung Suk JO
Author Information
1. Department of Orthopaedic Surgery, Dongguk University College of Medicine, Gyeongju, Korea. kys73740@naver.com
- Publication Type:Original Article
- Keywords:
Tibia;
Distal tibial fracture;
Minimally invasive plate osteosynthesis;
Intramedullary nailing
- MeSH:
Ankle;
Congenital Abnormalities;
Follow-Up Studies;
Foot;
Fracture Fixation, Intramedullary;
Humans;
Tibia;
Tibial Fractures
- From:Journal of the Korean Fracture Society
2018;31(3):94-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study compared the radiological and clinical results of minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) of distal tibial fractures, which were classified as the simple intra-articular group and extra-articular group. MATERIALS AND METHODS: Fifty patients with distal tibial fractures, who could be followed-up more than 12 months, were evaluated. Group A consisted of 19 patients treated with MIPO and group B consisted of 31 patients treated with IMN. The results of each group were analyzed by radiological and clinical assessments. RESULTS: The mean operation times in groups A and B were 72.4 minutes and 65.7 minutes, respectively. The mean bone union times in groups A and B were 16.4 weeks and 15.7 weeks, respectively. The bone union rate in groups A and B were 100% and 93%, respectively. The ranges of ankle motion were similar in the two groups at the last follow-up. The mean American Orthopaedic Foot and Ankle Society score was similar: 90.1 in group A and 90.5 in group B. The radiological and clinical results were similar in the intra and extra-articular groups. In groups A and B, two cases of posterior angulation and five cases of valgus deformity of more than 5° were encountered. CONCLUSION: Both MIPO and IMN achieved satisfactory results in extra-articular AO type A and simple articular extension type C1 and C2 distal tibia fractures.
