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A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:17-21 – Tejas Tribhuwan, Chetan Pradhan, Atul Patil, Chetan Puram, Dheeraj Attarde, Parag Sancheti, Ashok Shyam Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2]. [1] Sancheti Institute of Orthopaedics and Rehabilitation, Pune, […]

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:12-16 – Nazia Khan, Mabongo M, Kolisa Y Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2] [1] Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa. [2]2Department of Community Dentistry, University of The Witwatersrand,South Africa. Address of CorrespondenceDr. […]

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

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A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:17-21 – Tejas Tribhuwan, Chetan Pradhan, Atul Patil, Chetan Puram, Dheeraj Attarde, Parag Sancheti, Ashok Shyam

Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2].

[1] Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
[2] Indian Orthopaedic research group, Thane, India.

Address of Correspondence
Dr. Dheeraj Attarde,
Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
E-mail: dheerajattarde@yahoo.in

Abstract

Introduction: Multiple treatment modalities have been described for distal tibia metaphyseal fractures but there is no consensus regarding optimal treatment. The purpose of this study was to compare the management of these fractures by intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO) technique by assessing the functional and radiological outcomes and complications.
Methods: 50 patients having distal tibia fractures were studied and divided into two equal groups of IMN and MIPO with a follow-up period of one year. Functional assessment was done using SF-36, LEFS and VAS scores; radiological assessment was done by evaluating the union type and radiological deformity, and complications in both procedures were studied. Various fracture patterns were also considered.
Results: SF-36 showed no statistical significance with regard to treatment mode and fracture type. LEFS score reduced with increase in complexity of fracture and also indicated that both IMN and MIPO groups regained comparable functional capacity after a year. IMN cases (96%) showed better chances of primary union than MIPO cases (72%), after a year. Varus was found in 16% and valgus in 20% of plating cases. AO Type fractures 43 A1 and 43 A2 were preferably treated with nailing whereas 43 A3, with plating.
Conclusion: While union time is shorter for IMN cases, there is a greater occurrence of deformity in MIPO patients. We concluded that both the techniques can provide a similar return of functional capabilities but as the complexity of the fracture increases, nail becomes difficult to use than a plate.
Keywords: IMN; Distal tibia metaphyseal; MIPO; Distal third tibia fractures.

References

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How to Cite this article: Tribhuwan T, Pradhan C, Patil A, Puram C, Attarde D, Sancheti P, Shyam A | A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) VS Minimally Invasive Plate Osteosynthesis (MIPO)| Trauma International | January-June 2020; 6(1):17-21.

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Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:12-16 – Nazia Khan, Mabongo M, Kolisa Y

Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2]

[1] Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa.

[2]2Department of Community Dentistry, University of The Witwatersrand,
South Africa.

Address of Correspondence
Dr. Nazia Khan,
Department of Maxillo-facial and oral surgery, School of Oral Health Sciences, University of the Witwatersrand, South Africa
E-mail: nazia786092@gmail.com

Abstract

Introduction: Globally injuries constitute a major public health problem. In 2007, South Africa was listed as one of the most violent countries in the world, with more than 30 000 trauma-related deaths recorded annually.
Objective: Analysis of 5 371 trauma patients seen over a three-month period at Chris Hani Baragwanath Academic Hospital’s trauma unit was conducted. Objectives of the survey were to: Describe the patients socio-demographic profile ; Assess the frequency, distribution and types of injuries sustained; Determine the severity of injuries; Determine patient outcomes after initial treatment; and Determine factors related to traumatic injuries.
Methods: A cross-sectional study. Patients were admitted assessed and records were reviewed.
Results: A male to female ratio of 2:1 was recorded. Only 22.69% of the patients reported been employed. The median age was 28 years (interquartile range 14-40 years). The predominant mechanism of injury was due to falls (32.37%), followed by assault (27.44%). Transport-related injuries accounted 22.52%, while burn injuries accounted for 8.01%. Males were more likely to suffer any form of injury compared to females (p<0.05). Assault injuries were 4.23 times more likely to result in head and neck injuries compared to any other mechanism of injury (OR:4.23, CI 3.52-5.08, p <0.00). Upon initial admission to the unit, 43.04% of patients were discharged home after initial treatment, while 41.54% were transferred to the orthopedic unit.
Conclusion: Sex, employment status, age and area of residence influenced the pattern of traumatic injuries. Falls injuries and assault were the predominant mechanisms of injury. Males were more likely to suffer from any form of injury than females. Assault injuries were more than four times more likely to result in head and neck injuries than any other mechanism of injury. Therefore, ongoing surveillance and education campaigns are recommended.

Keywords: Surveillance; Trauma; Injuries.

References

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How to Cite this article: Khan N, Mabongo M, Kolisa YM | Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa | Trauma International | January-June 2020; 6(1):12-16.

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A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

Full Sized Blog Element (Big Preview Pic)

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Injury Survey at Chris Hani Baragwanath Academic Hospital, Soweto, South Africa

Author: Nazia Khan[1], Mzubanzi Mabongo[1], Yoland Malele Kolisa[2]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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