Background: As the highest number of complications are associated with the distal tibia fracture it is one of the most challenging condition to treat. Minimally invasive plate osteosynthesis techniques are more feasible. As the disappointing results were obtained from the traditional techniques therefore this method was gradually evolved. Study design: It is a prospective study conducted in Pakistan Railway General Hospital, Rawalpindi for the duration of one year from January 2022 to December 2022. Material and Methods: The study comprised of 49 patients who fulfilled the inclusion criteria. Among 49 patients there were 23 males and 26 female patients. The patients that were not fulfilling the inclusion criteria were excluded from the study. Results: 40% of the patients had problem in the right leg and 60% had it in their left side. There were 24 patients that reported about fibula plating the remaining 52% had no fibula plating experienced. The mean time of surgery was 7 days ranging from 3 to 8 days. Based on the classification of fracture, 72% patients were included in the 43A category and 43B included 28% patients. Conclusion: For distal tibia fractures, minimally invasive plate osteosynthesis has better radiological and functional outcomes and is quite better than other treatment methods. The invasive method can cure these fractures with fewer complications and in a short union time. Keywords: distal tibia fractures and soft tissue.
Background & Objective: A distal radius fracture is responsible for one-sixth visit to the orthopedic emergency room. Although these fractures are common, the best treatment for these fractures is still controversial. The objective of the study was to compare the functional outcomes in terms of union in displaced extra articular distal radius fracture by POP alone or k-wire augmentation. Methods: A comparative study was conducted in the department of orthopedic surgery, Pakistan Institute of Medical Science, Islamabad from June to December 2021. A total of sixty (n=60) adult patients irrespective of gender with distal radial fracture were included in the study. Patients allocated in two groups, Group A included patients who were treated with above elbow POP casting after reducing the fracture, under sedation or blockage of hematoma and Group B included the patients in whom surgery was performed with k-wire by closed reduction and internal fixation. The main outcome measure of the study was functional outcomes in terms of excellent, good and fair. The chi square test was used between study groups for comparison of acceptable outcomes (excellent to good). A p value ≤ 0.05 was considered significant. Results: The average age of the patients of both groups was 38.6±15.8 years. Among 60 patients, 70% (n=42) were male and 30% (n=18) were females. In group A (POP) 30% (n=9) patients showed excellent, 23.3% (n=7) showed good and 46.7% (n=14) showed fair outcome as per our study outcomes. In group B (k-wire) 56.7% (n=17) patients showed excellent, 36.7% (n=11) showed good and 6.6% (n=2) showed fair outcome with p value 0.002. Conclusions: The study concluded that the functional outcomes in terms of union of displaced extra articular distal radius fractures, K-wire fixation showed better results than POP cast alone. Keywords: Bone wires; Casts, Surgical; Internal fixators; Radius fractures.
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