Interlocking intramedullary nailing versus locking plating for distal tibia fractures.

[Objective] blocking screws strengthen interlocking intramedullary nail and locking plate fixation of distal tibial fractures. [Method] minimally invasive treatment of 32 cases of internal fixation of distal tibial fractures, according to internal fixation into the intramedullary nail group (n = 17) and the locking plate group (n = 15), were compared in the operation time, fracture healing time, maximum dorsiflexion of the ankle, and the use of Olerud-Molander ankle score evaluation results. [Result] All patients have 55 to 81 weeks (mean 60.3 weeks) in the follow-up, two groups in operative time, maximum ankle dorsiflexion of the difference was not statistically significant (P0.05). All fractures were obtained mean healing time was 20.5 weeks intramedullary nail group, locking plate group was 21.2 weeks. Olerud-Molander ankle score results are excellent. [Conclusion] distal tibial fracture, blocking screws strengthen interlocking intramedullary nail and minimally invasive locking plate fixation methods are valid, according to the specific circumstances of injury, select the appropriate fixed mode.