Fractures of the distal tibia: minimally invasive plate osteosynthesis

Redfern, David; Syed, Shakir; Davies, Simon

doi:10.1016/j.injury.2003.09.005

Cited by 198 publications

(174 citation statements)

References 22 publications

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“…Bridging plates are used more often in diaphyseal fractures that compromise the proximal and distal ends of the tibia [11][12][13][14][15] ; however, in this study this aspect was not considered, since patients were randomly allocated. The placement of the plate on the anterior-medial tibial face is technically easier and leads to less compromise of its vascularization.…”

Section: Discussionmentioning

confidence: 99%

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

Fernandes

Silva

Reis

et al. 2006

Clinics

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OBJECTIVE: A prospective, randomized study to compare patients with closed, multi-fragmented tibial diaphyseal fractures treated using one of two fixation methods undertaken during minimally invasive surgery: nonreamed interlocking intramedullary nails or bridging plates. MATERIALS AND METHODS: Forty-five patients were studied; 22 patients were treated with bridging plates, 23 with interlocking nails without reaming. All fractures were Type B and C (according to the AO classification). RESULTS: Clinical and radiographic healing occurred in all cases. No cases of infection occurred. The healing time for patients who received nails was longer (4.32 weeks on average) than the healing time for those who received plates (P = 0.026). No significant differences were observed between the two methods regarding ankle mobility for patients in the two groups. CONCLUSIONS: The healing time was shorter with the bridging plate technique, although no significant functional differences were found.

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Section: Discussionmentioning

confidence: 99%

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

Fernandes

Silva

Reis

et al. 2006

Clinics

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“…This has the advantages of preserving the blood supply as well as the fracture heamatoma with minimal soft tissue dissection which results in good secondary bone healing. [11][12][13][14][15][16][17] Since the screw heads lock on to the plate, the LCP provides excellent stability as compared to a conventional plate and also protects against loss of fracture reduction. This technique has been used successfully in the management of these fractures and the results have been quite promising.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of functional outcome following minimally invasive plate osteosynthesis in fractures of the distal tibia

et al. 2017

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Background: Management of fractures of the distal tibia remains a challenging proposition due to the fact that the major part of the bone is in a subcutaneous location and the blood supply is quite precarious. Conventional forms of osteosynthesis are associated with high rates of infection and nonunion. Due to extensive soft tissue stripping, the vascularity is compromised and often results in poor wound healing and tends to compromise fracture healing as well. Closed reduction with minimally invasive plate osteosynthesis (MIPO) addresses these issues and has emerged as a viable treatment option with minimal complications. The aim of this study was to assess the functional outcome MIPO using locking compression plates (LCP).Methods: 32 patients with distal tibial fractures treated by MIPO technique with LCP fixation were studied from January 2012 to January 2014 and were followed up for a period of 2 years.Results: All the fractures in our series united well at the end of 6 months with mean time to radiological evidence of callus formation at 10 weeks and the mean time to fracture union was 20 weeks. There were 2 cases with varus angulation in our series and no cases with implant failure. There were 3 patients with superficial skin infections and no cases of deep infection.Conclusions: We conclude that MIPO with LCP is an effective treatment option for distal tibial fractures avoiding all the complications associated with other forms of internal fixation. We strongly recommend its usage in these types of complex injuries.

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“…Meticulous neurovascular examination of the extremity is mandatory, and, when in doubt, Doppler ultrasound of the fracture area should be obtained, in addition to CTA if neurovascular structures are involved. According to current evidence in terms of union rates and reported complications, we believe that MIPO should be preferred over ORIF to fix distal diaphyseal tibia fractures not amenable to IMN [32][33][34][35][36][37][38][39]. However, this technique should be adapted when facing soft…”

Section: Resultsmentioning

confidence: 99%

Fixation of a Distal Diaphyseal Tibia Fracture with Neurovascular Tissue Incarceration: Surgical Technique Using a Lesser Invasive Approach

Belaieff¹

2017

Trauma Cases Rev

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Soft tissue incarceration in a distal diaphyseal tibia fracture may predispose to adverse fracture healing. Incarcerated soft tissue may include nerves and/or vessels, with the potential for neurovascular complications. Meticulous neurovascular examination of the extremity is mandatory, and, when in doubt, Doppler ultrasound of the fracture area should be obtained, in addition to computed tomography angiography if neurovascular structures are involved. In order to address this situation, a surgical technique combining the advantages of minimally invasive plate osteosynthesis and limited fracture line exposition is described, exemplified with the case of a 65 y/o male who sustained a low-energy right closed distal diaphyseal tibio-peroneal fracture (AO/ OTA type 42-B2) with anterior tibial artery and deep peroneal nerve entrapment.

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Fractures of the distal tibia: minimally invasive plate osteosynthesis

Cited by 198 publications

References 22 publications

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

Comparative Multicenter Study of Treatment of Multi-Fragmented Tibial Diaphyseal Fractures With Nonreamed Interlocking Nails and With Bridging Plates

An evaluation of functional outcome following minimally invasive plate osteosynthesis in fractures of the distal tibia

Fixation of a Distal Diaphyseal Tibia Fracture with Neurovascular Tissue Incarceration: Surgical Technique Using a Lesser Invasive Approach

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