A Prospective Study on the Assessment of Functional Outcome by Modified OMAS Score in Distal Tibial Diaphysio - Metaphyseal Fracture Treated by Expert Tibia Nail or Plate Osteosynthesis

Dr. Chanchal Bayen, Dr. Piyush Dodiyar, Dr. A. K. Ojha

Abstract: Introduction: To study the functional outcome by using modified Olerud and Molander scoring system (OMAS) of distal tibial diaphyseometaphyseal fractures treated by Expert Tibia nail (ETN) or plate osteosynthesis. Methodology: Study Centre-Ravindra Nath Tagore Medical College & Maharana Bhupal Government Hospital, Udaipur in Department of Orthopaedics & Traumatology. Study Type-Prospective, Inclusion Criteria: Age group (20-60) years both male and female with Distal 1/3rd tibia fracture (AO Classification 43A1, A2, A3) with Tsherene and Ostern grade 0 and grade 1., Closed or Gustilo grade-I or grade-II open fractures, Early failure of conservative management. Patients willing to give consent and willing for follow-up. Exclusion Criteria: Patients aged below 20 years or above 60, Patients medically unfit for surgery, Open fractures (Gustillo -Anderson Grade-3) associated with vascular injuries., Intraarticular fractures (AO 43B, and C), Patients not willing for surgery. Sample Size ? 40 Results: 40 cases were operated and followed up. After 9 months of follow up to 18 (45%) having excellent grade, 20 (50.00%) had good grade. Only 2 patients (5.00%) had fair grade due to delay in union and stiffness in muscles, which was improved with physiotherapy. ETN groups (20) about 95% showed Excellent to Good results, Medial LCP group (10)showed 100% Excellent to good results and Anterolateral group (10) showed 90% Excellent to good results. Conclusion: For distal tibial metaphyseal fractures without involving articular surface, IM nailing with ETN and plate osteosynthesis provides adequate stability at fracture site and aids in achieving earlier fracture union and earlier return to work

Keywords: OMAS, ETN, AO, IM, LCP

How to Cite?: Dr. Chanchal Bayen, Dr. Piyush Dodiyar, Dr. A. K. Ojha, "A Prospective Study on the Assessment of Functional Outcome by Modified OMAS Score in Distal Tibial Diaphysio - Metaphyseal Fracture Treated by Expert Tibia Nail or Plate Osteosynthesis", Volume 12 Issue 6, June 2023, International Journal of Science and Research (IJSR), Pages: 1560-1564, https://www.ijsr.net/getabstract.php?paperid=SR23613111025, DOI: https://dx.doi.org/10.21275/SR23613111025