{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:35:05Z","timestamp":1786649705456,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Extra-articular fracture of the proximal tibia frequently results in functional impairment of the knee and lower limb if not managed properly. Any treatment method must achieve the desired anatomical reduction and stable fixation to permit early weight-bearing and joint motion. This type of fracture can be treated using a variety of methods, from conservative casting to surgical management. It is still for debate that, which surgical procedure is best for treating extra-articular proximal tibia fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aims to compare the functional and radiological outcome of expert tibia nailing and proximal tibia plating in extra-articular proximal tibia fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>This study was carried out in Rajendra Institute of Medical Sciences, Ranchi. This is a prospective study, from November 2021 to October 2022. Forty patients were selected in our study after fulfilling the inclusion criteria. Patients were randomized into two equal groups using computer-generated random numbers. Of 40 patients, 20 patients underwent surgical intervention using expert tibial interlocking nail and 20 with using plate and screws after approval from the Institutional Ethics Committee. All patients were examined preoperatively, postoperatively, and in follow-up period. The data regarding different parameters including the timing of surgery after trauma, operating time, intraoperative blood loss, duration of hospital stay, any postoperative complications, radiological, and functional outcomes were recorded and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both the groups had excellent outcomes, and no statistically significant difference was found between both the groups in terms of functional outcome using the Oxford Knee Score. However, there was statistically significant difference present in mean union time (in weeks) with lesser duration in the Expert ILN group using the Radiographic Union Scale for Tibia score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Both plating and expert tibial nailing offer no significant advantages over each other in terms of functional outcome in the management of proximal tibia fracture. However, Expert ILN is associated with lesser union time but with higher risks of malunion, and plating is associated with more intra-operative blood loss, higher rate of postoperative infection, and a longer length of hospital stay.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_209_24","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T11:03:29Z","timestamp":1741172609000},"page":"361-369","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Randomized Trial Comparing Outcome of Expert Tibial Nail versus Proximal Tibial Plate in the Management of Fractures of Proximal Tibia in Adults"],"prefix":"10.4103","volume":"24","author":[{"given":"Vinay","family":"Prabhat","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Topno","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabyasachi","family":"Kundu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verma Dipak Kumar Prakash","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"119","DOI":"10.4103\/eoj.eoj_39_18","article-title":"Management of post-traumatic extra- articular proximal tibial nonunion by Ilizarov external fixation","volume":"53","author":"Mahmoud","year":"2018","journal-title":"Egypt Orthop J"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00003086-198903000-00006","article-title":"Pylon fractures of the distal tibia","author":"Bourne","year":"1989","journal-title":"Clin Orthop Relat Res"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/BOT.0b013e318030df96","article-title":"Complications of locking plate fixation in complex proximal tibia injuries","volume":"21","author":"Phisitkul","year":"2007","journal-title":"J Orthop Trauma"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"86.","DOI":"10.1186\/s12891-022-05024-2","article-title":"Weightbearing after combined medial and lateral plate fixation of AO\/OTA 41-C2 bicondylar tibial plateau fractures: A biomechanical study","volume":"23","author":"Thamyongkit","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/BOT.0000000000001484","article-title":"Extreme nailing: Is it safe to allow immediate weightbearing after intramedullary nail fixation of extra-articular distal tibial fractures (OTA\/AO 43-A)?","volume":"33","author":"Beebe","year":"2019","journal-title":"J Orthop Trauma"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"665","DOI":"10.5435\/JAAOS-22-10-665","article-title":"Controversies in the intramedullary nailing of proximal and distal tibia fractures","volume":"22","author":"Tejwani","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"66","DOI":"10.5435\/JAAOS-D-18-00765","article-title":"Pearls and pitfalls with intramedullary nailing of proximal tibia fractures","volume":"28","author":"Lee","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"R8-20260423","doi-asserted-by":"crossref","first-page":"245","DOI":"10.17511\/ijmrr.2016.i02.020","article-title":"To compare the outcome of intramedullary nailing and locking compression platefixation intreatment of proximal one third tibia fracture: A randomized control trial","volume":"4","author":"Jain","year":"2016","journal-title":"Int J Med Res Rev"},{"issue":"Suppl 1","key":"R9-20260423","doi-asserted-by":"crossref","first-page":"A30","DOI":"10.1016\/S0020-1383(03)00255-9","article-title":"Stabilization of proximal tibial fractures with the LIS-system: Early clinical experience in Berlin","volume":"34","author":"Sch\u00fctz","year":"2003","journal-title":"Injury"},{"key":"R10-20260423","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1097\/00005131-200409000-00008","article-title":"Treatment of proximal tibia fractures using the less invasive stabilization system: Surgical experience and early clinical results in 77 fractures","volume":"18","author":"Cole","year":"2004","journal-title":"J Orthop Trauma"},{"key":"R11-20260423","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/BOT.0b013e3181b013d2","article-title":"Intramedullary nailing versus percutaneous locked plating of extra-articular proximal tibial fractures: Comparison of 56 cases","volume":"23","author":"Lindvall","year":"2009","journal-title":"J Orthop Trauma"},{"key":"R12-20260423","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/00005131-200309000-00013","article-title":"Operative treatment of extra-articular proximal tibial fractures","volume":"17","author":"Bhandari","year":"2003","journal-title":"J Orthop Trauma"},{"key":"R13-20260423","first-page":"150","article-title":"Prospective comparative study of proximal third extra articular tibial fractures treated with proximal lateral tibial locking plate and sirus intramedulary nail","volume":"5","author":"Sharma","year":"2016","journal-title":"Paripex Indian J Res"},{"key":"R14-20260423","first-page":"328","article-title":"Comparative analysis of closed reduction and expert tibia nailing with open reduction and plate and screw page 66 fixation in the treatment of proximal tibia extraarticular fractures","volume":"5","author":"Pandey","year":"2018","journal-title":"Int J Med Biomed Stud"},{"key":"R15-20260423","first-page":"10","article-title":"Extra-Articular Proximal Tibia fractures: Proximal tibia plate versus intramedullary nailing","volume":"4","author":"Patel","year":"2018","journal-title":"IP Int J Orthop Rheumatol"},{"key":"R16-20260423","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1097\/00005131-200105000-00005","article-title":"Fractures of the proximal third of the tibial shaft treated with intramedullary nails and blocking screws","volume":"15","author":"Ricci","year":"2001","journal-title":"J Orthop Trauma"},{"key":"R17-20260423","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1302\/0301-620X.81B6.0810963","article-title":"The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails","volume":"81","author":"Krettek","year":"1999","journal-title":"J Bone Joint Surg Br"},{"key":"R18-20260423","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1007\/s007760300028","article-title":"Percutaneous plating for unstable tibial fractures","volume":"8","author":"Oh","year":"2003","journal-title":"J Orthop Sci"},{"issue":"315","key":"R19-20260423","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/00003086-199506000-00009","article-title":"Indirect reduction and composite fixation of extraarticular proximal tibial fractures","author":"Bolhofner","year":"1995","journal-title":"Clin Orthop Relat Res"},{"key":"R20-20260423","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s10195-014-0332-9","article-title":"Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: A randomized controlled trial","volume":"16","author":"Meena","year":"2015","journal-title":"J Orthop Traumatol"},{"key":"R21-20260423","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1097\/BOT.0000000000001579","article-title":"Intramedullary nails yield superior results compared with plate fixation when using the masquelet technique in the femur and tibia","volume":"33","author":"Morwood","year":"2019","journal-title":"J Orthop Trauma"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_209_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:57:18Z","timestamp":1786647438000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_209_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,5]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_209_24","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,5]]},"assertion":[{"value":"2024-10-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}