Utility of Fibular Fixation in Same-Level Tibia and Fibula Fractures: A Randomized Controlled Trial

Description

The presentation by Prism Schneider focuses on research into the surgical management of tibial diaphyseal fractures using load-sharing reamed intramedullary nails, particularly addressing the complexities involved in the anatomical reduction of distal third tibia fractures. High malreduction rates prompt the investigation of adjunctive fibular plating to potentially enhance rotational stability and maintain reduction.



The study aims to determine whether initial fibular plating impacts rates of tibial nonunion, improves alignment, and influences surgical timing and complications. A randomized controlled trial was conducted with 30 patients, analyzing outcomes such as time to union, complication rates, and alignment through modified RUST scores.



Preliminary findings reveal no significant demographic differences between treatment groups, but an improved rate of union with fibular plating at a threshold score of 13. Although surgery duration was longer for the fibular-plating group, the time to pass the tibial guidewire was notably reduced. Furthermore, improved alignment indicators were observed during follow-ups.



The results suggest that adjunctive fibular plating is a viable technique for enhancing surgical outcomes in complex tibial fractures, and may prove beneficial in community settings with limited surgical assistance. Acknowledgment is given to contributing medical professionals and the research team.

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