ASSESSMENT OF OUTCOME IN CASES WITH EXTRAARTICULAR DISTAL THIRD TIBIA FIBULA FRACTURES TREATED WITH INTERLOCKING NAILING OF TIBIA WITH CONCOMITANT FIBULAR FIXATION BY ORIF WITH PLATE OR BY CLOSED NAILING

Abstract

BACKGROUND- The present study aimed to assess and compare the radiological and functional outcome, union time and complications in cases of extraarticular distal third Tibia bula fractures treated with interlocking nailing of Tibia with concomitant Fibular xation either by ORIF with plate or by closed nailing. METHODOLOGY- This was observational prospective study which was carried out at Department of Orthopedics in Unique Super Speciality Centre, Indore (M.P.) for a period of 1 year on adults belonging to age group between 18 to 75 years of either gender. All the cases were randomly allocated in two groups. During surgery, fracture tibia was managed with the help of interlocking intramedullay nail in all the cases in both the groups whereas bular fracture in group A were managed using ORIF with semitubular plate or reconstruction plate and that in group B was managed using CRIF with rush nail/ square nail/ k wire. RESULTS-There was no statistically signicant association between the complications and the groups (p>0.05), showing that the complications is independent of the groups. There was a signicant improvement in the score at 3 months and 6 months (p<0.05) in both the groups; however, no statistically signicant difference in union time between the two groups (p>0.05). Also no statistically signicant association between the outcome and the groups (p>0.05) was observed. CONCLUSION- The choice of xation for adjunctive stabilization of bula has no effect on the fracture tibia union and the ultimate functional outcome. Closed nailing is better where the soft tissue morbidity is high (as in high velocity trauma and open fractures) and where bones are weak (elderly patients). Other immunocompromised states such as diabetes in which there are higher infection rates with traditional plating techniques.