Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 86-90, 2015.
Article
in Korean
| WPRIM
| ID: wpr-40503
ABSTRACT
PURPOSE:
We analyzed and compared the clinical and radiologic results between minimally invasive plate osteosynthesis and internal fixation using intramedullary (IM) nail in the treatment of distal tibia fractures. MATERIALS ANDMETHODS:
From March 2005 to June 2013, 65 cases of distal tibia fractures treated with either plate fixation or IM nail fixation were analyzed retrospectively by clinical and radiologic evaluations. The clinical results were compared using the American Orthopaedic Foot and Ankle Society (AOFAS) score, Olerud-Molander ankle score (OMAS), and visual analogue scale (VAS) score at the last follow-up. The radiologic results were compared by time to bone union, complications such as nonunion, delayed union, and malunion.RESULTS:
The clinical results (according to OMAS, AOFAS score, and VAS score) were 77.47, 84.76, and 1.75, respectively, in the plating group, and 90.21, 91.00, and 1.25, respectively, in the nailing group, and there was no statistically significant difference. Plating group showed earlier union than the nailing group and the nailing group showed higher frequency of non-union and delayed union than plating group.CONCLUSION:
In treatment of distal tibia fractures, two methods showed appropriate results. Therefore, thorough investigation of the types of fracture, state of soft tissues, and advantages and disadvantages of the two methods should be conducted in the treatment of distal tibia fractures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tibia
/
Retrospective Studies
/
Follow-Up Studies
/
Foot
/
Fracture Fixation, Intramedullary
/
Ankle
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
Journal of Korean Foot and Ankle Society
Year:
2015
Type:
Article
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