Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures

원위 경골 골절에서 금속정 및 금속판 고정술의 결과 비교

  • Kim, Jung-Han (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Gwak, Heui-Chul (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Chang-Rack (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Jung, Yang-Hwan (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine)
  • 김정한 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 곽희철 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 이창락 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 정양환 (인제대학교 의과대학 부산백병원 정형외과학교실)
  • Received : 2015.06.08
  • Accepted : 2015.07.24
  • Published : 2015.09.15
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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 and Methods: 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.

Keywords

References

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