A prospective comparative study on osteosynthesis of distal tibial metaphyseal fractures with plating V/s intramedullary nailing

Background: Tibial fractures are the most common long bone fractures, while distal tibial even more complicated due to their proximity ankle and close relationship with thin,Objectives: To assess compare fractures' functional outcomes in Group A versus B. efficacy, advantages, disadvantages of treatment modalities complications. Materials Methods: This is a comparative study done from October 2018 March 2020 Department Orthopaedics, Narayana Medical College, attached general hospital, Nellore. In this period total 40 patients were taken for as per inclusion criteria. The randomized into two groups 20 cases each. treated plating, B was intramedullary nailing. Results: our study, average duration radiological union interlocking nail group 20.1 ± 1.14 weeks plating group, it 24.1 1.16 weeks. Thus, occurred significantly faster nailing group.3 had delayed union. better rom noticed compared that tibia plating. Average dorsiflexion at final follow-up 12.8 degrees 9.7 group.Conclusion: Intramedullary has advantages shortened operating time, early weight-bearing decreased wound problems an fracture, implant-related problems, overall reduced morbidity.