Clinical and radiological outcome of percutaneous plating in extra-articular proximal tibia fractures: A prospective study

Naik, Monappa A; Arora, Gaurav; Trıpathy, Sujit Kumar; Sujir, Premjit; Rao, Sharath K.

doi:10.1016/j.injury.2013.03.002

Cited by 36 publications

(18 citation statements)

References 30 publications

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“…In 80.6% of the cases, mode of trauma was road traffic accident and in 16% of the cases, mode of trauma was fall from height while 3.2% of the cases had history of assault by hard and blunt object. Various previous studies have also shown similar distribution of mode of injury [8,9]. Most common type of fracture observed in present study was 41A3.…”

Section: Discussionsupporting

confidence: 84%

COMPARISION OF CLOSED EXPERT TIBIA NAILING WITH OPEN PLATE&SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES.

Johar

Trivedi

Sharma

et al. 2019

IJMBS

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This study conducted at Index Medical College Hospital & Research Centre, Indore during the study period of 02 years. Patients were followed up for 01 year, evaluated radiologically and clinically with Tegnerlysholm knee scale, outcomes were used for comparison. Malreduction was defined as a deformity of 5 degree in any plane. Out of a total of 22 patients, 01 (1 in the plating group) was excluded from the study as pt was absent for follow-up, meaning that 21 patients were included in the final study Baseline data of 21 patients. Use of PTLCP is associated with more intra operative blood loss, higher postoperative infection rate and longer duration of hospital stay, whereas use of IMN associated with higher rates of malunion and nonunion. However there is no difference in functional outcome between IMN and PTLCP. But it is the surgical skill that is required in such fractures. To validate this issue further a large sample size of matching severity multicentric study done by equal level skill cadre is recommended. Overall proximal one third extraarticular tibia fracture is complicated and problematic fracture to deal with and is commonly associated with significant soft tissue damage. High grade of surgical skills are required to deal these fractures as fixation of proximal one third extraarticular tibia fracture is technically demanding surgery regardless of the implant.

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Section: Discussionsupporting

confidence: 84%

COMPARISION OF CLOSED EXPERT TIBIA NAILING WITH OPEN PLATE&SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES.

Johar

Trivedi

Sharma

et al. 2019

IJMBS

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“…Options include intramedullary implant, half-pin external fixation, hybrid or thin-wire external fixation, plate fixation, or a combination of these techniques [ 5 , 17 ]. In recent years, closed reduction with minimally invasive plating and locked intramedullary nailing have both become widely used treatment modalities for proximal and distal tibial metaphyseal fractures [ 6 – 8 ], despite the absence of any conclusive proof of the superiority of one modality over the other.…”

Section: Introductionmentioning

confidence: 99%

Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial

Meena

Gupta

et al. 2015

J Orthopaed Traumatol

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BackgroundExtra-articular proximal tibial fractures account for 5–11 % of all tibial shaft fractures. In recent years, closed reduction and minimally invasive plating and multidirectional locked intramedullary nailing have both become widely used treatment modalities for proximal and distal tibial metaphyseal fractures. This study was performed to compare plating and nailing options in proximal tibia extra-articular fractures.Materials and methodsThis randomized prospective clinical study was conducted on 58 skeletally mature patients with a closed extra-articular fracture of the proximal tibia treated with minimally invasive proximal tibial plating (PTP) or intramedullary nailing (IMN) by trained surgeons at a tertiary trauma center.ResultsPostoperative hospital stay (p = 0.035), time to full weight-bearing, and union time (p = 0.004) were significantly less in the IMN group than in the PTP group, but there was no clear advantage of either technique in terms of operative time (p = 0.082), infection rate (p = 0.738), range of motion of the knee (p = 0.462), or degrees of malunion and nonunion.ConclusionBoth implants have shown promising results in extra-articular proximal tibial fractures, and provide rigid fixation that prevents secondary fracture collapse.Level of evidenceLevel 2, randomized controlled trial.

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“…Since the concept of minimally invasive closed reduction was proposed, interlocking intramedullary nails (IMN) have been widely used in long bone fractures. A prospective study by Naik et al showed that IMN can reduce economic burden and medical costs for society to a greater extent than the minimally invasive proximal tibial plate fixation (PTP). Titanium has superior biocompatibility to stainless steel, and the use of titanium rod intramedullary nails inhibits the foreign body reactivity of soft tissues and reduces the chance of infection.…”

Section: Discussionmentioning

confidence: 99%

Biocompatible Porous Tantalum Metal Plates in the Treatment of Tibial Fracture

Zhao

Wang

et al. 2019

Orthopaedic Surgery

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Fractures of the tibia represent a common class of injuries in orthopedics. The blood supply to the tibia is poor due to the small subcutaneous muscle tissues inside. Consequently, the tibia is prone to delayed fracture healing and nonunion of the fracture after surgery. In this case, we used porous tantalum metal plate to treat nonunion of a tibial fracture and achieved satisfactory therapeutic effects. For the first time in the field, we used 3D printing technology to fabricate porous tantalum metal plates for the treatment of tibial fractures. The resulting porous tantalum metal exhibited excellent mechanical and biological properties, and improved the therapeutic effects for the treatment of a tibial fracture nonunion. Porous tantalum metal plates have great application potential as a new implant material for internal fixation.

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Clinical and radiological outcome of percutaneous plating in extra-articular proximal tibia fractures: A prospective study

Cited by 36 publications

References 30 publications

COMPARISION OF CLOSED EXPERT TIBIA NAILING WITH OPEN PLATE&SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES.

COMPARISION OF CLOSED EXPERT TIBIA NAILING WITH OPEN PLATE&SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES.

Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial

Biocompatible Porous Tantalum Metal Plates in the Treatment of Tibial Fracture

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