Hoon Jeong; Jae-Doo Yoo; Young-Do Koh; Hoon-Sang Sohn

doi:10.12671/jkfs.2007.20.2.154

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Original Article
Comparative Study of Intramedullary Nailing and Plate for Metaphyseal Fractures of the Distal Tibia: Hoon Jeong, M.D., Jae-Doo Yoo, M.D., Young-Do Koh, M.D., Hoon-Sang Sohn, M.D.; Journal of the Korean Fracture Society 2007;20(2):154-160.
DOI: https://doi.org/10.12671/jkfs.2007.20.2.154
Published online: June 14, 2016

Department of Orthopedic Surgery, Seoul Red-Cross Hospital, Seoul, Korea.

^*Department of Orthopedic Surgery, College of Medicine, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Jae-Doo Yoo, M.D. Department of Orthopaedic Surgery, College of Medicine, Ewha Womans University, 911, Mok-dong, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-6142, Fax: 82-2-2634-9941, yjdos@ewha.ac.kr

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Abstract
REFERENCES

Abstract

Purpose
To compare the radiological and clinical results between intramedullary nailing and plate fixation in the treatment of distal tibial fractures.
Materials and Methods
19 cases of distal tibial metaphyseal fractures within 4 cm of the ankle joint line were enrolled. Ten patients were treated with interlocking intramedullary nail and the others with plate and screws.
Results
The mean union time was 14 weeks in nailing group and 16 weeks in plate group. The average angulation in AP view was 4.1 degrees in nailing group and 3.1 degrees in plate group. The average angulation in lateral view was 1.7 degrees in nailing group and 2.7 degrees in plate group. The rotational deformity was 2.8 degrees in nailing group and 1.7 degrees in plate group in average. There was no implant failure and soft tissue problem.
Conclusion
There was no difference in clinical and radiological results between intramedullary nailing and plate in the treatment of the distal tibial fractures and, considering the preservation of the soft tissue, the intramedullary nails are a reliable method for managing distal metaphyseal fractures of the tibia.
Key words: Distal tibia fracture, Intramedullary nailing, Plate

REFERENCES

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Fig. 1

(A) A 35-year-old man sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury.

(B) Radiographs taken at 1 year after the injury show bony union and nail with five locking screws.

Fig. 2

(A) A 22-year-old man sustained a comminuted fracture of the right distal tibial metaphysis and fibula after slip down injury.

(B) Radiographs taken at 2 year after the injury show bony union and nail with four locking screws.

Fig. 3

(A) A 39-year-old man sustained a comminuted fracture of the right distal tibial after slip down injury.

(B) Radiographs taken at 11months after the injury show bony union and nail with four locking screws.

Fig. 4

(A) A 64-year-old woman sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury.

(B) Radiographs taken at 1 year after the injury show bony union and plate and screws.

Fig. 5

(A) A 26-year-old man sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury.

(B) Radiographs taken at 15 months after the injury show bony union and plate and screws.

Fig. 6

(A) A 67-year-old woman sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury.

(B) Radiographs taken at 2 years after the injury show bony union and plate and screws.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Does a Customized 3D Printing Plate Based on Virtual Reduction Facilitate the Restoration of Original Anatomy in Fractures?
Seung-Han Shin, Moo-Sub Kim, Do-Kun Yoon, Jae-Jin Lee, Yang-Guk Chung
Journal of Personalized Medicine.2022; 12(6): 927. CrossRef
A Comparison of the Results between Intramedullary Nailing and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fractures
Chul-Hyun Park, Chi-Bum Choi, Bum-Jin Shim, Dong-Chul Lee, Oog-Jin Shon
Journal of the Korean Orthopaedic Association.2014; 49(4): 285. CrossRef

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Comparative Study of Intramedullary Nailing and Plate for Metaphyseal Fractures of the Distal Tibia

J Korean Fract Soc. 2007;20(2):154-160. Published online April 30, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.2.154

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Comparative Study of Intramedullary Nailing and Plate for Metaphyseal Fractures of the Distal Tibia

Fig. 1 (A) A 35-year-old man sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury. (B) Radiographs taken at 1 year after the injury show bony union and nail with five locking screws.

Fig. 2 (A) A 22-year-old man sustained a comminuted fracture of the right distal tibial metaphysis and fibula after slip down injury. (B) Radiographs taken at 2 year after the injury show bony union and nail with four locking screws.

Fig. 3 (A) A 39-year-old man sustained a comminuted fracture of the right distal tibial after slip down injury. (B) Radiographs taken at 11months after the injury show bony union and nail with four locking screws.

Fig. 4 (A) A 64-year-old woman sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury. (B) Radiographs taken at 1 year after the injury show bony union and plate and screws.

Fig. 5 (A) A 26-year-old man sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury. (B) Radiographs taken at 15 months after the injury show bony union and plate and screws.

Fig. 6 (A) A 67-year-old woman sustained a comminuted fracture of the left distal tibial metaphysis after slip down injury. (B) Radiographs taken at 2 years after the injury show bony union and plate and screws.

Fig. 1

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Fig. 5

Fig. 6

Comparative Study of Intramedullary Nailing and Plate for Metaphyseal Fractures of the Distal Tibia