Conservative Treatment of Nonarticular Fractures of distal third Tibia

Pandey, BK; Manandhar, Rajeev Raj; Sharma, S; Pradhan, Rabindra Lal; Lakhey, S; Rijal, K P

doi:10.31729/jnma.295

Cited by 4 publications

(5 citation statements)

References 1 publication

(2 reference statements)

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“…Treatment selection is influenced by the proximity of fracture displacement, comminution and injury to soft tissue envelope [7] . MIPO technique for these fractures is technically feasible and advantageous in that it minimizes soft tissue compromise and devascularization of the fracture fragments [8] .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the management of tibial diaphysial fracture AO Type - 42C with locking compression plate by MIPO technique

Rahman¹,

Haq²,

Rahman³

et al. 2021

Int. J. Orthop. Sci.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the management of tibial diaphysial fracture AO Type - 42C with locking compression plate by MIPO technique

Rahman¹,

Haq²,

Rahman³

et al. 2021

Int. J. Orthop. Sci.

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“…Conservative therapy, including functional bracing, casting, and similar techniques, is the main treatment method in some low‐income and middle‐income countries. Conservative therapy has shown good results in many cases 4 . However, nonoperative treatment methods also have several weaknesses.…”

Section: Introductionmentioning

confidence: 99%

“…Conservative therapy has shown good results in many cases. 4 However, nonoperative treatment methods also have several weaknesses. The main disadvantages are poor alignment, fracture displacement, prolonged immobilization, ankle stiffness, and poor lower limb function.…”

Section: Introductionmentioning

confidence: 99%

Intramedullary Nail Fixation by Suprapatellar and Infrapatellar Approaches for Treatment of Distal Tibial Fractures

Gao

Wang

Xia

et al. 2022

Orthopaedic Surgery

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Objective To compare the functional and alignment outcomes of intramedullary nail fixation using suprapatellar and infrapatellar approaches in treating distal tibial fractures. Methods In this retrospective study, 132 patients with distal tibial fractures (87 men, 45 women) ranging in age from 20 to 66 years were treated with intramedullary nails using the suprapatellar (69 patients) or infrapatellar (63 patients) approach. The radiographic alignment outcomes and ankle function were compared between the two groups. Multivariate logistic regression analyses were performed to determine which variety influenced ankle functional scores and whether the suprapatellar approach intervention demonstrated a protective effect. Results The mean follow‐up time was 14.22 ± 2.31 months. The mean sagittal section angle of the fracture in the suprapatellar and infrapatellar approach groups was 3.20° ± 1.20° and 5.31° ± 1.23°, respectively (P < 0.001). The mean coronal section angle was 3.51° ± 0.89° and 5.42° ± 1.05°, respectively (P < 0.001). Three patients (4.3%) in the suprapatellar approach group and 15 patients (23.8%) in the infrapatellar approach group had poor fracture reduction (P < 0.001). The mean hind foot functional score and ankle pain score were 95.91 ± 4.70 and 35.91 ± 4.70 points, respectively, in the suprapatellar approach group and 85.20 ± 5.61 and 25.20 ± 5.61 points, respectively, in the infrapatellar approach group (P < 0.001 for both). In the comparison of ankle function, the multivariate logistic regression analyses demonstrated that the odds ratio in the suprapatellar approach group was about 7 times that in the infrapatellar approach group (odds ratio, 7.574; 95% confidence interval, 2.148–28.740; P = 0.002). Of the variants measured, the statistically significant risk factors for poor ankle function were AO type A3 (P = 0.016) and diabetes mellitus (P = 0.006). Sex and the operation interval were not statistically significant risk factors for poor ankle function. Conclusion Intramedullary nailing using the suprapatellar approach facilitates simple fracture reduction, excellent postoperative fracture alignment, and few complications, giving it obvious advantages over the conventional infrapatellar approach. Additionally, the suprapatellar approach is a prognostic factor associated with postoperative ankle joint function.

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“…1,2 These fractures constitute less than 7% of all tibia fracture and less than 10 % of all lower extremity fractures. [3][4][5] Fractures of the distal tibia are unique in that the bone is subcutaneous with depleted muscle cover, the consequent decreased vascularity leads to complications like delayed bone union, wound complications such as dehiscence and infections. 1,3,4 These fractures can be managed with various techniques.…”

mentioning

confidence: 99%

“…[3][4][5] Fractures of the distal tibia are unique in that the bone is subcutaneous with depleted muscle cover, the consequent decreased vascularity leads to complications like delayed bone union, wound complications such as dehiscence and infections. 1,3,4 These fractures can be managed with various techniques. Treatment selection is influenced by distance of the fracture from the articular surface, displacement or comminution at the fracture site and injury to the surrounding skin and subcutaneous tissues.The aim of treating the fracture is to preserve normal mechanical axis, ensure joint stability and restore a near full range of motion.…”

mentioning

confidence: 99%

Anatomical pre-contoured plates in management of distal tibia fracture: a prospective study

Laik,

Niraj,

Kaushal

et al. 2023

Int J Res Orthop

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Background: Distal tibial fractures are complex injuries with high complication rate. Management of such fractures are often complicated by soft tissue injuries. Precarious vascularity around distal tibia also results in high non-union rates. This study aims to study and analyse the outcome of distal tibia fracture managed by anatomical contoured plate. Methods: In this prospective observational study, we attempted to assess the functional and radiological outcome of distal tibia fracture managed by with distal tibia fracture with average follow up of 24 weeks. ORIF/MIPO with plating was done for fracture distal tibia with anatomical precontoured plates. Results: Patients were evaluated using AOFAS and measure of ankle range of motion. Average functional score was 88 with complications in 3 patients. Conclusions: We believe precontoured plates provide for better biological fixation than conventional plates.

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Conservative Treatment of Nonarticular Fractures of distal third Tibia

Abstract: Abstract

Cited by 4 publications

References 1 publication

Evaluation of the management of tibial diaphysial fracture AO Type - 42C with locking compression plate by MIPO technique

Evaluation of the management of tibial diaphysial fracture AO Type - 42C with locking compression plate by MIPO technique

Intramedullary Nail Fixation by Suprapatellar and Infrapatellar Approaches for Treatment of Distal Tibial Fractures

Anatomical pre-contoured plates in management of distal tibia fracture: a prospective study

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