Original Articles
A randomised trial comparing outcome of expert tibial nail versus proximal tibial plate in management of fractures of proximal tibia in adults | |
Dr. Amit Kumar, Dr. Saubhik Das, Dr. Govind Kumar Gupta, Dr. Lal Bahadur Manjhi, Dr. Vinay Prabhat | |
Background:As the major weight-bearing area of the proximal part of the tibia is involved, the fracture is likely to result in functional impairment. Later, any treatment method must achieve the desired anatomical reduction and stable fixation in order to permit early weight bearing and early joint motion. This kind of fracture can be treated using a range of treatments, from conservative casting to major surgery. It is still up for debate which surgical procedure is best for treating proximal tibia fractures, especially extra-articular fractures. Aim:To compare the FUNCTIONAL and RADIOLOGICAL outcome of Expert tibia Nailing and Proximal tibia plating in Proximal tibia Extraarticular fractures. Methods: This study was carried out in Rajendra InstituteofMedicalSciences,Ranchi. The study was a randomized trial in which patients were randomized in both the groups using Random lottery method by an independent observer. According to the prevalence of patients with proximal tibia fractures admitted in RIMS in the years 2018-20, 40 patients, 20 Expert ILN group and 20 in Plating group were selected for our study after approval from Institutional Ethics Committee. Results:Both the groups had excellent outcome and no statistically significant difference was found between both the groups in terms of functional outcome assessment using the Oxford Knee Score. Conclusions:The use of PTLCP and ILN produces effects that are almost equal in treating proximal tibia extra articular fractures, according to this prospective randomized trial. While using Expert ILN is related with higher risks of malunion, using PTLCP is associated with more intraoperative blood loss, a higher rate of postoperative infection, and a longer length ofhospital stay. |
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