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Original Research

RMJ. 2020; 45(3): 629-632


Surgical fixation and grafting of traumatic distal tibia atrophic nonunion with or without platelet-rich plasma: A comparative study

Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Mokhalad Waleed Hatem, and SadeqA. Al-Mukhtar.




Abstract

Objective: To compare distal tibia nonunion plating and grafting with and without platelet-rich plasma (PRP) regarding union rate, union time and complications
Methodology:In this prospective comparative study, 32 patients with nonunion tibia from July 2017 January 2019 were divided into two groups: group A(16 cases) were treated by plating and grafting with PRP and group B (16 cases) were treated by plating and grafting only.
Results:There was higher union rate in group A related to group B (81% vs. 69%) but statistically not significant (p=0.256). Healing duration was significantly longer in group B (6.11 vs. 5.12) months(p=0.001). Regarding the postoperative pain, it was significantly less in groups A than group B.
Conclusion: Combining PRP with autologous bone graft results in a higher union rate, less healing duration, less post-operative pain, and more callus formation.

Key words: Tibial nonunion, bone graft, platelet rich plasma.






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