Retrospective analysis of AO 42A-B type tibia fractures treated with percutaneus locked plating and intramedullary nailing

Bilgili, Fuat

doi:10.5505/tjtes.2015.56956

Ulus Travma Acil Cerrahi Derg

2015

DOI: 10.5505/tjtes.2015.56956

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Retrospective analysis of AO 42A-B type tibia fractures treated with percutaneus locked plating and intramedullary nailing

Fuat Bilgili¹

Abstract: ÖZET AMAÇ: Bu çalışmada AO 42A ve 42B tipi tibia kırıklarında uygulanan perkütan kilitli plak (PKP) ve intramedüller çivi (İMÇ) tespit sonuçlarının geriye dönük analizi yapıldı. Tespit tipinin kaynama zamanı ve fonksiyonel sonuçlar üzerinde etkisinin olup olmadığı ve komplikasyonları sorgulandı. GEREÇ VE YÖNTEM:Bu geriye dönük çalışmaya 2006-2010 yılları arasında eklem dışı tibia distal uç kırığı tanısıyla cerrahi tedavi edilen 42 hasta dahil edildi. Hastaların 18'i kapalı İMÇ ile (Grup 1), 24'ü ise PKP (Grup … Show more

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2017

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Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients

Sandoval

Rueda

Daza

2017

Trauma Surg Acute Care Open

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BackgroundFixation of diaphyseal tibial fractures by plates is not considered the best option due to complications that may eventually arise; however, if principles of stability and proper surgical techniques are used, it is possible to obtain fracture consolidation without major risks.MethodsWe conducted a cross-sectional observational descriptive study by retrospectively analyzing medical records of patients with diaphyseal tibial fractures that were treated with plates from the period between June 2011 and June 2014 at San José and Susana López Hospitals in the city of Popayan, Colombia. 3 treatment groups were created and analyzed according to the type of fracture (Association Osteosynthesis/Osteosynthesis Trauma Association AO/OTA): group I: simple fractures 42A/B, absolute stability; group II: simple fractures 42A/B, Minimally Invasive Plate Osteosynthesis (MIPO) technique, relative stability; group III: multifragmentary fractures 42C, MIPO technique, relative stability. A descriptive analysis of patients, fracture consolidation time, and complications in each group were performed.Results45 patients with tibial fractures treated with osteosynthesis plates were analyzed. Group I: 14 patients, 42A (n=13) and 42B (n=1), had an average consolidation time of 16.38 (SD=1.98) and 14 weeks, respectively. In group II: 19 patients, out of which 18 achieved fracture consolidation (42A n=15 and 42B n=3) with an average time of 17.4 (SD=3.33) and 17.3 weeks (SD=6.11), respectively. Finally, in group III: 12 patients all with 42C fractures with a consolidation time of 16.86 (SD=2.93) weeks. The average fracture consolidation time for all 44 patients was 16.86 weeks (SD 2.93).ConclusionsOsteosynthesis plates are an alternative to intramedullary nailing for diaphyseal tibial fractures and their outcomes can be favorable as long as the management of soft tissues and the proper principle of stability are taken into account.Level of evidenceIV.

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Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients

Sandoval

Rueda

Daza

2017

Trauma Surg Acute Care Open

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Retrospective analysis of AO 42A-B type tibia fractures treated with percutaneus locked plating and intramedullary nailing

Cited by 1 publication

References 26 publications

Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients

Management of diaphyseal tibial fractures by plate fixation with absolute or relative stability: a retrospective study of 45 patients

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