Abstract

Distal tibia has its unique anatomical peculiarities like subcutaneous location, poor blood supply, paucity of muscular coverage. These peculiarities make treatment of distal tibia fractures challenging. Multiple treatment modalities available for the treatment of Extra articular distal tibia fractures including open reduction and MIPO, IMN and External fixation. With the development of the mini-invasive technique MIPO became an excellent method. Currently both MIPO and IMN are most commonly used but controversy still exists. Some authors are in the favor of IMN & some authors are in the favor of MIPO. Therefore, our purpose of study is to compare the outcomes of Extraarticular distal tibia fractures managed with IMN and MIPO techniques. Aims: Our aim to compare the outcomes of Extraarticular distal tibia fractures managed with Intramedullary Nailing and Minimal invasive plate osteosynthesis (MIPO). Materials & Methods: We have done a prospective comparative study in department of orthopedics at GMC, Raigarh form 2020-2022 between two groups of Extraarticular distal tibia fractures. Statistical analysis performed using the SPSS software quantitative data documented as mean +- SD. Results: We have 54 patients divided in two groups, 27 in each group. All patients have extraarticular distal tibia fractures. Average fracture union time for MIPO is 26.27+/- 5.36 weeks and 25.26+/- 5.19 weeks for IMN patients (p value- 0.854). Functional outcome compared with AOFAS score at the 6 month follow up. AOFAS score for patients managed with MIPO is 81.14 +/- 7.98 whereas 80.83+/-7.91 for patients managed with IMN (p value-0.855). Complications like malunion in MIPO group 5+/- 1.41 degree as compare to 10.22+/- 2.04 in IMN group (p value- 0.001). statically significant. Conclusion: In our study, IMN group was associated with less duration of surgery, earlier weight bearing and lesser incidence of infection while with MIPO technique lesser the risk of infection, knee pain, malunion and nonunion. We think more time needed for proper assessment of final, clinical and functional outcome