Comparative study of intramedullary nail and locking plate fixation of the distal tibial metaphyseal fractures.

Objective To compare the intramedullary nail and locking plate fixation of distal tibial metaphyseal fractures. Methods 102 cases of distal tibial metaphyseal fracture of the fibula fractures were treated with closed reduction and intramedullary nail (nail group, 50 cases) and locking plate (plate group, 52 cases) and internal fixation, open reduction and fibula fracture reduction and plate fixation. results intramedullary nail group and steel group, shorter operative time, less wound complications and the incidence of pain irritation , fracture healing time shorter, AOFAS score higher, the differences were statistically significant (P <0.05). Conclusion with fibula fracture treatment for distal metaphyseal fractures of the tibia, ultra-distal interlocking intramedullary nailIt is the better choice.