Percutaneous locking plates for fractures of the distal tibia

Clinical and radiologic outcomes associated with the use of dynamic locking screws (DLS) in distal tibia fractures

“…In this cases series, a union rate of 78 % was achieved after 3 months and 100 % after 6 months. This finding was remarkable better than in our or historical series [1]. But the high expectations in the newly designed screw were subdued by the high rate of secondary screw breakage of 11.8 % (4 cases in 34).…”

“…In published literature, using 3.5 mm locking screws for metaphyseal tibia fractures still shows high rates of delayed or non-union. In a series of percutaneous locking plate osteosynthesis for distal tibia fractures, Ahmad et al experienced 3 delayed and one non-union in just 18 patients [1].…”

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

“…12 MIPO with LCP for distal diametaphyseal tibia fracture has been found to be an effective treatment option. 1,14,15,[20][21][22][23][24][25] 27 In spite of use of MIPO with LCP as internal external fixators, anatomical reduction of the fracture by using indirect reduction maneuvers before applying the plate is very important surgical step. Malreduction and suboptimal pre contouring of the plate can result delayed union, non union, prominent hardware, malleolar skin irritation and pain.…”

“…12,13 Numbers of previous clinical studies have established MIPO with LCP as a biologically friendly and technically sound method of fixation for distal diametaphyseal tibia fracture but most of these studies except by Ronga et al and Ahmad et al have included both open and closed fractures. 1,14 Since behavior of both of these fracture are different, comparison will be not fair. We therefore prospectively studied only closed distal diametaphyseal tibia fracture with or without articular extension managed with MIPO with LCP and compared with other studies.…”

A Comparative Study of Intramedullary Interlocking Nail and Locking Plate Fixation in the Management of Extra Articular Distal Tibial Fractures

“…[2,19,20,21,22,23] Locked plates are indicated for fracture management in osteoporotic bone and in periarticular fracture patterns, making them a feasible treatment option for distal tibia metaphyseal fractures. [24,25,26,27,28,29] Due to absence of defined criteria in the literature for the surgical treatment to extra articular distal tibia fractures, this study is conducted to compare the treatment results of intramedullary nailing and locking plate technique in terms of rate of healing, functional outcome and complications.…”