Treatment of fracture distal third tibia by plating versus nailing: Comparative study | ||||
| Zagazig University Medical Journal | ||||
| Article 18, Volume 30, Issue 1.1, January and February 2024, Page 130-140 PDF (1.08 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2021.59202.2099 | ||||
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| Authors | ||||
mahmoud saad ebeed  1; Yousif mohamed Khira2; mohamed mansour Elzoheiry3; sherif mohamed el aidy4
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| 1Orthopedic surgery department, Faculty of medicine, Zagazig university, Bilqas, Dakahlia, Egypt | ||||
| 2Orthopedic surgery department, Faculty of medicine, Zagazig university, Zagazig city, egypt | ||||
| 3Orthopedic surgery department, Faculty of medicine, Zagzig university, Zagazig city, Egypt | ||||
| 4Orthopedic surgery department, Faculty of medecine, Zagazig university, Zagazig city, Egypt | ||||
| Abstract | ||||
| Background It is often difficult to choose the optimal method for treating the fractures of the lower third tibia due to its closeness to ankle joint, poor blood supply, decrease of the muscles covering the anterior, complications, such as delayed union, nonunion, wound dehiscence, which are usually associated with comminution, severe soft tissue injury. Therefore, the management of the fracture of lower third tibia remains a great challenge to surgeons. Patients and methods Between January 2017-January 2020, 96 participants with distal tibial fractures were treated using either MIPO technique or Expert intramedullary nail technique, in a prospective study conducted in Zagazig University Hospitals. 48 participants treated by MIPO technique, 48 participants treated by Expert intramedullary nailing. Results The average age was 45 years, the mean age in gathering A was 46.58±14.9, and in gathering B was 44.83±13.73. The data of Participants were collected in terms of the name, age, sex, occupation, address, special habits, mechanism of injury, associated injury, history of comorbidities e.g. diabetes, hypertension, and peripheral vascular disease. Conclusion Distal tibial fractures often present a challenge to the orthopaedic surgeon. The treatment of this type of fracture is of current research interest, since there is no universally agreed treatment method. The choice of treatment must take into account not only the stabilization of the fracture, but also the management of the soft tissue injury which is a frequent cause of subsequent complications. | ||||
| Keywords | ||||
| Extra-articular distal tibial fracture; Expert intramedullary nail; Minimally invasive plate osteosynthesis | ||||
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