Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare multidirectional locked nailing and plating in the treatment of distal tibial meta-diaphyseal fractures. Methodology: Fifty- sixdistal tibial meta-diaphyseal fractures were divided into 2 groups of 28 each. In group I, patients were managed with closed nailingand in group II, patients were treated with the anatomically contoured locking compression plates (LCP) and screws.Parameters such as mode and nature of injury, operative time, intraoperative blood loss, fracture union time and outcome werecompared. Results: Group I comprised of 16 males and 12 females and group II had 14 males and 14 females. The mean operative time was 82.4minutes in group I and 98.4 minutes in group II. Intraoperative blood loss was 55.2 ml in group I and 84.6 ml in group II. Fracture union time was 19.2weeks in group I and 23.1 weeks in group II. The difference was significant (P< 0.05). Outcome was excellent in 24 in group I and 19 in group II, good in 2 in group I and 4 in group II, fair in 1 in group I and 3 in group II and poor in 1 in group I and 2 in group II. The difference was significant (P< 0.05). Conclusion: When treating patients with distal tibial meta-diaphyseal fractures, expert tibial nailing outperformed distal tibial plating in terms of treatment outcomes.