Tibia Fracture
Conditions
Keywords
Fractured Tibia, Expert Tibial Nail, Minimally Invasive Plate Osteosynthesis (M.I.P.O), Intramedullary Nailing, Locked Plate, distal third, 43-A
Brief summary
The investigators are comparing two methods of standard treatments in distal tibial fractures. locked plating (M.I.P.O. technique) with intramedullary nailing. the investigators are hypothesizing that M.I.P.O group is superior to nailing in fractures of the distal third of the tibia.
Detailed description
The kind of plates the investigators are comparing are the Locked plates form Synthes ® using the minimally invasive technique vs the Expert Tibial Nail® from Synthes ®
Interventions
Fractures well be treated with locked plates using M.I.P.O. Technique
Fractures well be fixed using intramedullary nails
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and Females aged from 18-60 years * Closed Tibia Fracture * Tibia Fracture Müller AO Class 43-A
Exclusion criteria
* Intra-articular Fractures * Open fractures * fracturesSubjects with documented Marfan's syndrome or Ehlers-Danlos syndrome or Hajdu-Cheney syndrome. * Post organ transplant patients (except Cornea transplant) * Subjects on immunosuppressive medications * Subjects with diagnosed with * Osteogenesis imperfecta * Osteopetrosis * Paget disease of bone * Renal osteodystrophy * Subjects with diagnosed neoplasms or mitotic illnesses * Subjects receiving growth hormone * Unable to comply with postoperative rehabilitation e.g. head injury * Impending compartment syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate Of Malunion | 6 months | Any healing that occurs with any one of the following: More than 5 degree angulation in the anterior-posterior or lateral view or Rotation of more than 10 degrees or Shorting of more than 1 cm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood Loss | during the time of surgery | — |
| Radiation exposure | During the time of Surgery | — |
| Duration of Surgery | During the time of Surgery | — |
| The Short Form (12) Health Score (SF-12v2®) | every 3 months till healing or 24 months | — |
| Hospital Stay | After Surgery | — |
| Time Of Fracture Healing | 6 months | Clinical Criteria: No pain or tenderness while wight bearing or palpating the fracture site Radiological Criteria: Bridging of the fracture site in anterior-posterior and lateral views. Using these two criteria we well be able to measure the time of healing in our study subjects. |
| Infection Rate | every 3 months till healing or 24 months | — |
Countries
Saudi Arabia