Assessment of Outcome of Distal Tibia Fractures treated by Anterolateral Plating and Medial Plating at a tertiary care centre in Central India

Volume 15 | Issue 2 | Apr-Jun 2020 | Page 22-26 | R.K. Jain, Mandar Deshpande, Pranav Mahajan, Shubham Jain

Authers: R.K. Jain [1], Mandar Deshpande [1], Pranav Mahajan [2], Shubham Jain [1]

[1] Department of Orthopaedics, Sri Aurobindo Medical College & Post Graduate Institute, Indore Ujjain Highway, Gram Bhanwrasala, Indore, Madhya Pradesh, India, Pin – 453555
[2] Department of Orthopaedics, Mahatma Gandhi Memorial Medical College & M.Y. Hospital, AB Road, Indore, Madhya Pradesh, India, Pin – 452001.

Address of Correspondence
Dr. Pranav Mahajan,
Department of Orthopaedics, MGM Medical College, AB Road, Indore, MP, India, Pin – 452001


Background: There are various treatment modalities in treatment of distal tibia fractures including plating, nailing, hybrid or ring fixator, etc. But very little work has been done to show the comparison between anterolateral plating and medial plating techniques for distal tibia fractures.
Methods: We included 58 patients with distal tibia fractures treated with anterolateral plating and medial plating. Patients were randomized using odd and even number allotment system and were operated upon with stainless steel pre contoured distal tibia locking plates using either medial or anterolateral approach. The functional and radiological outcome was assessed using Olerud and Molander score at six weeks, three months, six months, and one year.
Results: There were 58 patients included in the study. The mean age in the anterolateral group was 49.26 ± 15.73 years and in the anteromedial group was 39.77 ± 13.22 years. The most common mode of injury was road traffic accident. AO 43A1 was more common type of fracture seen in the anteromedial plating group (31.42%), while 43A3 fracture was more common in anterolateral plating group (34.78%),. The mean Olerud and Molandar score was significantly lower in the anteromedial plating group at 6 weeks postoperatively while it was comparable between the two groups at 3 months, 6 months and 12 months.
Conclusion: Anterolateral plating technique is associated with better functional outcome at the end of three months while both the techniques showed similar outcomes at long term follow up (one year). Patient selection, timing before surgery are also important factors while planning surgery.
Keywords: Distal tibia fracture, Anterolateral plating, Medial plating, Functional Outcome.


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How to Cite this article: Jain R K, Deshpande M, Mahajan P, Jain S. Assessment of Outcome of Distal Tibia Fractures treated by Anterolateral Plating and Medial Plating at a tertiary care centre in Central India. Journal of Trauma and Orthopaedic Surgery. April – Jun 2020;15(2):22-26.

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