Distal tibial fracture treated by minimally invasive plate osteosynthesis after external fixation Retrospective clinical and radiographic assessment

Abstract

Fractures of the horizontal surface of the distal tibia are known commonly as pylon or plafond fractures, and represent 1-5% of lower extremity fractures, 7-10% of all tibial fractures. The protocol consisted of immediate (within eight to 24 hours) open reduction and internal fixation of the fibula, using a fibular plate or one third tubular plate and application of an external fixator spanning the ankle joint. In the second stage, the treatment of proximal and distal tibial fractures with close reduction and MIPPO technique can preserve soft tissue, simplify operative procedure and decrease wound, obtain rigid internal fixation and guarantee early function exercises of ankle joint. In this study we evaluated 22 patients treated in Clinical Emergency Hospital Constanta between April 2012 -July 2013 diagnosed with multifragmentary fractures of the distal tibia. This study evaluates the treatment of complex fractures of distal tibia with locked plate after external fixation. There were 17 males and 5 females of mean age 51,7 years (31-68). The mean follow-up period was 14 weeks. (Ranging from 9-16 weeks). All patients were fully weight bearing at 16 weeks (ranging 9-16 weeks) showing radiological union. There were no cases

Treatment of distal tibia end fractures by minimally invasive plate osteosynthesis

“…Post-operative complications were very few with one infection and one slow union in thirty cases; few or no complication was also reported in other literature [1,[13][14][15] and the complications were treated successfully. The average time for bone union in this study within an average time of 18.7 weeks is comparable with Sanjay and Sanjay (2018) study (about 18 weeks); This result is faster than in the reports by Chandrakant and Martand (2018) [16] and Daolagupu et al (2017) [17] (about 19 weeks and 21.7 weeks, respectively); and slower than in the study by Serban et al (1997) [1] (about 17 weeks). Our result can be considered as comparable with the mentioned authors, but further researches with larger samples are necessary.…”

“…Distal tibia fractures are common in orthopedics accounting for 1-5% of the lower limb and 7-10% of lower leg fractures [1,2]. Due to the limit of soft tissues and poor blood supply nature of the area, treating distal tibia fractures is a challenge and quickly poses complications such as open fractures, infections, and slow bone reunion.…”

Study of outcome of pilon fracture of tibia treated with open reduction and plating

“…These are intraarticular fractures involving the ankle joint. These fractures may occur due to high or low energy injuries [3,4,5] . The precarious vasculature around the ankle and the subcutaneous location of tibia make these fracture one of the serious injuries challenging orthopaedic surgeons [6] .…”

Đánh Giá Kết Quả Điều Trị Gãy Đầu Dưới Xương Chày Bằng Nẹp Vít Khóa Tại Bệnh Viện Hữu Nghị Việt Đức

“…Gãy đầu dưới xương chày (gãy xương Pilon) là một chấn thương nghiêm trọng ở chi dưới khiến đường gãy đi vào diện khớp cổ chân hoặc kéo dài đến vùng hành xương1 . Đây là loại gãy xương thường gặp trong chấn thương chỉnh hình, chiếm tỷ lệ từ 1 -5% gãy xương chi dưới và từ 7 -10% gãy xương vùng cẳng chân 1 .…”