Abstract :
Introduction: Fractures of distal tibia are usually due to high velocity injuries with extensive damage to the soft tissue. The best modality of method of management for distal tibial fracture is one that achieves a good reduction and stability and minimizes soft tissue compromise as well as devascularization of the bony fragments. The aim of our study is to compare, analyse and individualize the best modality of treatment for management of distal tibial fractures.
Materials and Methods: This study of 30 patients of distal tibial fractures, was conducted at Dr. D.Y. Patil Medical College and Research Center, Pimpri, Pune, from September 2018 - August 2020. Required consents from all the patients and ethical committee clearance was taken before conducting the study. Necessary data was collected from all the patients during their hospital stay and regular follow-up was recorded.
Results: Patients treated with Intra-Medullary Nail had mean AOFAS (American Orthopaedic Foot and Ankle Society) score of 75.2, while patients treated with External Fixator and MIPO (Minimally Invasive Percutaneous Osteosynthesis) had mean AOFAS(American Orthopaedic Foot and Ankle Society) score 71.5 and 87.1 respectively.
Conclusion: In our study, we have analysed overall results including functional recovery, radiological assessment in terms of malalignment and complications related to different modalities of treatment of distal tibial fractures.
Keyword :
Distal tibia, MIPO, AOFAS, Trauma.