Comparative study between intramedullary interlocking nailing and minimally invasive percutaneous plate osteosynthesis for distal tibia extra-articular fractures.
Distal tibia fractures
IMIL nailing
MIPPO technique
Maiunion
Journal
Chinese journal of traumatology = Zhonghua chuang shang za zhi
ISSN: 1008-1275
Titre abrégé: Chin J Traumatol
Pays: China
ID NLM: 100886162
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
20
08
2020
revised:
30
03
2021
accepted:
05
07
2021
pubmed:
11
9
2021
medline:
24
3
2022
entrez:
10
9
2021
Statut:
ppublish
Résumé
Treatment of distal tibia fractures poses significant challenge to orthopedic surgeon because of poor blood supply and paucity of soft tissue coverage. There is considerable controversy regarding the superior option of treatment for distal tibia fracture between the minimally invasive percutaneous plate osteosynthesis (MIPPO) technique and intramedullary interlocking (IMIL) nailing for extra-articular distal tibia fractures. The aim of our study is to compare the functional outcome between the two treatment methods. This was the prospective comparative study of 100 patients with distal third tibia fractures divided into two groups. The first group of patients were treated with MIPPO technique while the second group of patients were managed by IMIL nailing. Patients were followed up in outpatient department to assess the functional outcomes, malunion, delayed union, nonunion, superficial and deep infection between the two groups. Statistical analyses were performed using the SPSS software (version 16.0). Average malunion (degrees) in the MIPPO group was 5 (3-7) ± 1.41 vs. 10.22 (8-14) ± 2.04 in the IMIL group (p = 0.001). Similarly postoperative knee pain in the IMIL group was 10% vs. 2% in the MIPPO group (p = 0.001). In terms of superficial infection and nonunion, the results were 8% vs. 4% and 2% vs. 6% for the MIPPO and IMIL group, respectively (p = 0.001). Both procedures have shown the reliable method of fixation for distal extra-articular tibia fractures preserving the soft tissue, bony vascularity and fracture hematoma that provide a favourable biological environment for fracture healing. Considering the results of the study, we have slightly more preference for the MIPPO technique.
Identifiants
pubmed: 34503904
pii: S1008-1275(21)00128-0
doi: 10.1016/j.cjtee.2021.08.004
pmc: PMC9039483
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
90-94Informations de copyright
Copyright © 2021 Chinese Medical Association. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest Authors declare that there is no conflict of interests in our study.
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