Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 23538
COMPARATIVE STUDY BETWEEN INTRAMEDULLARY INTERLOCKING
NAILING AND MINIMALLY INVASIVE PERCUTANEOUS PLATING (MIPO) USING
LOCKING COMPRESSION PLATE (LCP) IN CLOSED DIAPHYSEAL TIBIA
FRACTURES
aditya ADITYA SORAL, Prakash P.P.KOTWAL, Ravi RAVI MITTAL
All India Institute of Medical Sciences, New Delhi (INDIA)
Introduction:Tibial diaphyseal fractures are the most common type of long bone
fractures encountered by Orthopaedic surgeons world over with an incidence of 26
per 100,000 in an average population. The ideal treatment for these fractures still
remains elusive. Aim: the purpose of this study was to evaluate the results of Minimal
invasive percutaneous plate osteosynthesis(MIPO) using locking compression plate
(LCP) in tibial diaphyseal fractures and to compare the results with that of
interlocking nailing. Material and methods: 28 patients with closed fracture both
bones of leg were treated with either plating (MIPO using LCP) or intramedullary
interlocking nailing. The treatment option was decided by randomization using a
random number table. Both the groups were comparable in terms of age, sex, site of
fracture and mode of injury. Final results at union were graded according to the
Johners and Wruhs criteria. The results were analyzed using appropriate statistical
tests. Results: There were no statistically significant differences in the two groups
with regard to operative time, union time, range of motion of knee, ankle and subtalar
joints, complication rates and final Johner and Wruhs grade. However, statistically
significant difference was found in the incidence of anterior knee pain (P < 0.05) with
7 out of 15 patients of interlocking nailing having anterior knee pain at final follow up.
Conclusion: MIPO using LCP appears to be a good alternative to interlocking nailing
in the treatment of tibial diaphyseal fractures.
606