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.
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 ®
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
180
Fractures well be treated with locked plates using M.I.P.O. Technique
Fractures well be fixed using intramedullary nails
King Abdullah International Medical Research Center
Riyadh, Central, Saudi Arabia
RECRUITINGRate Of Malunion
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.
Time frame: 6 months
The Short Form (12) Health Score (SF-12v2®)
Time frame: every 3 months till healing or 24 months
Blood Loss
Time frame: during the time of surgery
Radiation exposure
Time frame: During the time of Surgery
Duration of Surgery
Time frame: During the time of Surgery
Infection Rate
Time frame: every 3 months till healing or 24 months
Hospital Stay
Time frame: After Surgery
Time Of Fracture Healing
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.
Time frame: 6 months
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