Authors : Dr. Kunal Shrivastava; Dr. Dhruv Lashkare; Dr. Ayush Patel; Dr. Sachin Samaiya

Volume/Issue : Volume 11 - 2026, Issue 4 - April

Google Scholar : https://tinyurl.com/yck68m3j

Scribd : https://tinyurl.com/56knkxux

DOI : https://doi.org/10.38124/ijisrt/26apr1491

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Background: Extra-articular distal tibia fractures are difficult to manage due to poor soft-tissue coverage, limited blood supply, and proximity to the ankle joint. Intramedullary interlocking nailing and distal tibia locking plate fixation are commonly used surgical options, each with specific advantages and limitations.  Aim: To compare the functional and radiological outcomes of extra-articular distal tibia fractures treated with distal tip interlocking tibia nail versus distal tibia locking plate fixation.  Methods: This prospective comparative study was conducted on 60 adult patients with AO/OTA 43-A distal tibia fractures at RKDF Medical College Hospital and Research Center over six months. Patients were divided into two groups of 30 each based on the surgical procedure performed. Functional outcomes were assessed using AOFAS and OMAS scores, while radiological evaluation included time to union, alignment, and complications during follow-up up to six months.  Results: Both techniques achieved satisfactory union and functional outcomes. Intramedullary nailing allowed earlier weight bearing and fewer soft-tissue complications, whereas locking plate fixation provided better alignment control with lower malunion rates. Final functional scores were comparable between groups.  Conclusion: Both distal tip interlocking tibia nailing and distal tibia locking plate fixation are effective for extra-articular distal tibia fractures. Implant selection should be individualized based on fracture pattern, soft-tissue condition, and surgeon experience.

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