A comparative study of intramedullary nailing verus minimally invasive percutaneous plate osteosynthesis for extra-articular proximal tibia fracture: A prospective study

Abstract

Aims: To compare the clinical and radiological outcome of extra-articular proximal tibial fractures treated with Intramedullary Nail And Minimally Invasive Percutaneous Plate Osteosynthesis with objectives-To assess the outcome in terms of fracture union by means of clinical and radiological features and outcome after surgical procedures, complications in these two methods of treatment Methods: Our study consists of 40 cases of extra-articular proximal tibia fractures. All cases aged were more then 18 were operated at Sanjay Gandhi Institute of trauma and orthopaedics from December 2017 to June 2019.Clinical outcome was assessed through knee society score. All the cases in the study were post-traumatic. Mean duration of follow up was 6 months. Results: Out of 40 patients, 36 were males and 4 were females. Average age of the patients was 38.40 years and 38.30 years in MIPPO group and IMN group respectively. 57.5% of the patients sustained a right sided fracture and 42.5% had left sided fracture. Mean knee society score of group 1 and group 2 at all visit of follow-up i.e 1 month, 2 month, 3 month, 6 month and 12 month were not significantly different from each other. Complication in both groups was also comparable. Conclusion: Extra-articular Proximal tibial fractures can be effectively treated by interlocking intra medullary nails with multi directional locking options as well as with MIPPO with excellent results, There is no significant difference between two mode of treatment as far as early post-operative mobilization, intra operative blood loss, Hospital stay, knee society score and complication. The operative technique was simple and short. No significant difference were there in complications encountered in our study. It can be concluded that both the technique were equally effective and choice of methods depends on the surgeon own experience, setup and patient choice.