Role of Fibular Plating in Management of Distal Both Bone Fracture of Leg

Abstract: Treatment of distal both bone leg fractures include intramedullary nailing, hybrid external fixation,
plate fixation or combining any of thesemodalities. While Interlocking nailing of tibial fractures is
advantageous in allowing load sharing without disturbing the extra osseous blood supply and less damage to
soft tissues with relatively easy learning curve. For correction of alignment before the insertion of nail and
maintaining the alignment and to improve the rotational stability of bone implant complex, fibular plating plays
a vital role in the management.Hence in our study we analysed the role of fibular plating in the management of
distal both bone fractures of the leg. This is prospective comparative study where 10 patients each in control
and study group were chosen and fibular plating was done prior to routine nailing in the subject group and only
interlocking nailing was done in control group.The alignment and reduction preoperatively, postoperatively and
at healing was the main outcome measured with an emphasis on loss of initial reduction on follow up.KalstromOlerud score was used to assess the functional outcomewhich is an independent measurement, not influenced by
other co-morbid conditions and associated injuries.