Abstract
Objective: To compare distal tibia nonunion
plating and grafting with and without platelet-rich
plasma (PRP) regarding union rate, union time
and complications
Conclusion: Combining PRP with autologous
bone graft results in a higher union rate, less
healing duration, less post-operative pain, and
more callus formation. (Rawal Med J 202;45:629-
632).
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.
