​Outcome Analysis of Distal Tibial Fractures Managed by Open Reduction Internal Fixation Using Plate Osteosynthesis

ABSTRACT

Introduction: Fracture of the distal tibia is one of the common fractures encountered by an orthopedic surgeon. Many studieshave been associated even as little as 1 mm incongruence of articular surface landed with worst outcome. Distal tibial fracturesare complicated by poor bone stock, soft tissue complication, and poor vascularity, leading to non-union, gross comminution,and malalignment.Aim: The aim of the study was to evaluate the functional outcome analysis of distal tibial fractures managed by open reductioninternal fixation using plate osteosynthesis.Materials and Methods: This a prospective study conducted at KAPV Medical College, Tiruchirappalli. 20 patients treatedwith distal tibial plating. Fibular plating was done in eight of these patients. Patients were analyzed using Karlström and Olerudscoring system, with follow-up of 3–18 months.Results: Ten patients had excellent functional results, six patients had good results, three patients had acceptable results, andone patient had a poor result. Quality and vascularity of bone seem to influence the outcome to a large extent.Conclusion: Based on our study, we conclude that distal tibial fractures managed with plate minimally invasive percutaneousplate osteosynthesis technique allow early mobilization of the patients and provide a good functional outcome.