Comparision of Distal Uniplanar Locking with Biplanar Distal Locking in Intramedullary Interlocking Nailing of Fractures Distal Shaft of Tibia

Authors

  • Rana Shahbaz Ahmad Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Suhail Amin Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Omar Rathore Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Bushra Hassan Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Javaid Iqbal Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Adeel Qamar Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i2.5832

Keywords:

Distal shaft of tibia fractures, Distal interlocking screws, Intramedullary interlocking nailing, Union time

Abstract

Objective: To study the effects of distal uniplanar locking and distal bi planar locking on union times in uncomplicated fractures distal shaft of tibia managed with an intramedullary interlocking nail.

Study Design: Comparative prospective study.

Place and Duration of Study: Department of Orthopedics and Trauma Combined Military Hospital Rawalpindi from Jan to Nov 2020.

Methodology: Fifty-three patients having fractures distal shaft of tibia managed with intramedullary interlocking nail were studied. Twenty-nine patients were managed using two interlocking screws distally (uniplanar) in coronal plane (group-1). Twenty-four patients were managed with three bi planar screws comprising two coronal and one sagittal distal interlocking screw (group-2). Patients were followed every 4 weeks, and bone union time was assessed. Isolated closed fractures treated with closed reduction were included.

Results: Patients treated with distal bi planar locking (group-2) had significantly reduced union time in weeks (11.25 ± 1.42) compared to uniplanar distal interlocking (group-1) (15.79 ± 1.80) (p<.001).

Conclusion: Union time for distal tibia shaft fractures is significantly reduced when treated with distal biplanar locking; it can be attributed to increased stability of the construct.

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Published

01-05-2022

Issue

Section

Original Articles

How to Cite

1.
Ahmad RS, Amin MS, Rathore MO, Hassan B, Iqbal J, Qamar A. Comparision of Distal Uniplanar Locking with Biplanar Distal Locking in Intramedullary Interlocking Nailing of Fractures Distal Shaft of Tibia. Pak Armed Forces Med J [Internet]. 2022 May 1 [cited 2024 Jul. 19];72(2):637-40. Available from: https://pafmj.org/PAFMJ/article/view/5832