Comparison of intramedullary and extramedullary fixation for distal tibial fracture

Objective: A retrospective comparative study of interlocking intramedullary nail and anatomical plate from the ankle fracture line treatment of distal tibial articular surface type A fractures within 5 cm of the clinical efficacy of the method: December 2001 - December 2007, internal fixation From ankle fracture line distal tibial articular surface type A fractures within 5 cm in 57 cases, in which the distal end of a nail application interlocking intramedullary nail fixation plaster assisted in 32 cases, 25 cases using anatomical plate Two Group each lost one case, the remaining 55 cases were followed up for 12-33 months, an average of 25 months. The operation time were compared. hemorrhage hospitalization time fracture healing ankle joint function and complication rates. Results : two groups in the amount of bleeding ankle fracture healing time and the incidence of delayed union fracture fixation complication rate ankle deformity rate was no significant difference (P> 0.05) interlocking intramedullary.... nailing group surgery and hospitalization time than anatomical plate fixation group significantly reduced the incidence of skin necrosis lower incisions Conclusion: interlocking intramedullary nail and anatomical plate treatment within 5 cm distal tibial A type from each ankle fracture surface There are pros and cons. For the combined cases of soft tissue injury, interlocking intramedullary nail treatment is more suitable.