J Korean Fract Soc.  2002 Apr;15(2):152-158. 10.12671/jksf.2002.15.2.152.

Comparative Analysis of Interlocking IM Nailing and LC-DCP fixation in the Treatment of Distal Tibial Fracture

• Na HY
• Park YJ
• Ko SH
• Choe WS
• Lee YS
• Yoon KD

• KMID: 1999394
• DOI: http://doi.org/10.12671/jksf.2002.15.2.152

Abstract

PURPOSE: To compare the clinical results between interlocking IM nailing and LC-DCP fixation in the treatment of distal tibial shaft fracture.
MATERIALS AND METHODS
From August 1998 to August 2001, 23 patients were treated by interlocking IM nail and 15 patients were treated by LC-DCP for distal tibial shaft fracture.
RESULTS
Accoding to Robinson classification, there were 12 type 1 fractures (52.1%) and 11 type 2a fractures (47.8%) in the interlocking IM nailing group, and 4 type 1 fractures (26.7%), 8 type 2a fractures (53.4%) and 3 type 2c fractures (20.07%) in the LC-DCP fixation group. The average time to bony union was 16 weeks in the patients treated with interlocking IM nail and 12 weeks in the patients treated with LC-DCP. In the functional outcome (according to Klemm and Borner), 18 patients treated (78.2%) with interlocking IM nail showed satisfactory results and 13 patients (86.6%) treated with LC-DCP had satisfactory results.
CONCLUSION
We concluded that more satisfactory results could be obtained with LC-DCP fixation compared with interlocking IM nailing in the treatment of the distal tibial fracture.

Keyword

Distal tibial fracture; Interlocking IM nail; LC-DCP

MeSH Terms

Classification
Humans
Tibial Fractures*