Imil Infection Case Study

Many cases of fracture fixed with the implant are not devoid of complication. The subcutaneous location and less muscle mass around distal tibia have a less vascular supply. Total complication rate was significantly higher for intramedullary nailing compared with plate fixation (44.5 vs. 25.8 %, P < 0.001).19Though statistically not significant the rate of complication in IMIL is higher as compared to MIPO group(16% vs 7.1%, P=0.147)in our study. Infection is more common in open reduction and internal fixation cases. The rate of infection by different researcher appears similar between MIPO and IMIL.11,12 Infection is found in both groups. Polat et al. noted one infection in the MIPO group which was subsided upon removal of the implants.4 Our study showed that infections are subsided after removal of plate and nail. A patient who was on the steroid for a long time with preoperative pigmented shiny skin had an amputation after IMIL. The cause of the amputation was gangrene due to venous thrombosis identified by color Doppler. Yang et al. compared the results of IMIL versus open reduction and plating in distal tibial fractures and reported anterior knee pain in almost half of their patients (6/13) whereas there were no patients with knee symptoms in the plating group. …show more content…
Two of their patient’s symptoms continued after the removal of IMIL.7 Other studies also show knee pain as a disadvantage of IMIL.4 Our studies showed five such cases of anterior knee pain causing functional impairment in those treated with