Comparison of minimally invasive plate osteosynthesis and intramedullary nailing in the treatment of distal extraarticular tibial fractures

Aim: Our study’s aim was to investigate the effectiveness of minimal invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) in extraarticular distal tibia fractures compare outcomes these two treatment methods.
 Materials Methods: Between January 2008 2015, 59 patients had fracture treated with MIPO or IMN were evaluated retrospectively. Postoperative x-rays for consolidation angular deformities. For functional evaluations Olerud-Molender Ankle Scoring (OMAS) method used ankle joint range motion measured by goniometer.
 Results: At last visit, all consolidated. Average union time 16.1weeks (range, 12-24 weeks) group 15.5 weeks (range 10-24 group, respectively (p = 0.254). The mean OMAS scores 67.5 40–90) 63 30-90) groups, (p= 0.12). operation 95(range 45-115) minutes 75(range 40-100) 0.04). operative radiation exposure times 30(range 8-143) 17 5-65) seconds 0.03). Angular deformities found at 7 (23%) 5 (17%) patients, respectively. Soft tissue problems seen more group.
 Conclusion: In conclusion, can be safely tibial metaphyseal fractures. While caused deformity delay, poorer results soft problems.