Two Stage Minimally Invasive Method with Locking Plate Application on Distal Tibia Fractures - Our Experience

Hasani, Ilir; Kaftandziev, Igor; Stojmenski, S; Trpeski, Simon; Kostov, Hristijan; Nikolov, Ljupcho; Arsovski, Oliver; Emini, Saliamet

doi:10.3889/oamjms.2017.099

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Where complications were present, these were benign and did not require further surgery. They believed that this modern method for the treatment of distal tibia fractures should be applied routinely and considered as the gold standard in this domain [11] .…”

Section: Discussionmentioning

confidence: 99%

Assessment of functional outcome of lower third tibial fracture fixation with distal tibial locking plate: An observational study

Kumar¹,

Kaur²

2020

Nat. J. Clin. Orthop.

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Background: Fractures of the distal third shaft and distal metaphysis of tibia are one of the difficult and challenging problems faced by orthopaedic surgeons. These fractures are usually associated with fractures of the lower third of fibula which need to be addressed separately to get well aligned ankle mortis, unlike the proximal and mid third shafts fractures of tibia, where fibular fractures need not always be treated separately. Hence; the present study was planned for assessing the functional outcome of lower third tibial fracture fixation with distal tibial locking plate. Materials & methods: A total of 30 patients with lower third tibial fractures were enrolled. Preoperative clinical and radiographic examination of all the patients was carried out. Patients were prepared for locking plate fixation and pre-anaesthetic preparation was done. All the orthopaedic procedures of locking plate fixation were carried out under the hands of skilled and experienced orthopaedic surgeons. Follow-up was done and functional outcome was assessed on follow-up. Olerud-Molander functional evaluation score (OMFES) was used for evaluating the functional outcome on final follow-up. Complications, if any, were recorded separately. Results: According to OMFES, while assessing the functional outcome, it was observed that excellent results were present in 20 percent of the cases while good results were present in 70 percent of the cases. Fair results were found to be present in 10 percent of the cases. Complications were found to be present in 23.33 percent of the cases. Malunion was found to be present in 1 case, while non-union was found to be present in 2 cases. Superficial infection was found to be present in 13.33 percent of the cases. Conclusion: Even though distal locking plates are associated with good functional outcome, significant proportion of the patients show occurrence of postoperative complications. Hence; proper care should be while performing these orthopedic procedures for reducing complication rate.

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Section: Discussionmentioning

confidence: 99%

Assessment of functional outcome of lower third tibial fracture fixation with distal tibial locking plate: An observational study

Kumar¹,

Kaur²

2020

Nat. J. Clin. Orthop.

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“…Se subdivide en tres subtítulos que son: dolor, función y alineación. A su vez, la función se evalúa mediante la limitación para actividades diarias, el requerimiento de apoyo, el tipo de calzado requerido, la distancia máxima que puede recorrer, entre otros (44,45). Se puede obtener un puntaje máximo de 100 puntos.…”

Section: Pronósticounclassified

Fractura trimaleolar

Ovares¹,

Calderón²,

Marroquín³

et al. 2022

Rev.méd.sinerg.

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Las fracturas trimaleolares representan el 7%-11% de las fracturas de tobillo y generalmente son causadas por traumas de alta energía. Son fracturas inestables que requieren reparación quirúrgica en la mayoría de los casos pues se asocia con un mejor resultado funcional por lo que se debe considerar en todos los pacientes, incluso en aquellos con comorbilidades. En este tipo de fracturas el compromiso del maléolo posterior es el componente de mayor complejidad y se asocia a un peor pronóstico. El manejo de este tipo de fracturas aún es controversial, principalmente en cuanto al orden de la reparación de los maléolos y en los materiales de fijación que deben utilizarse.

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Two Stage Minimally Invasive Method with Locking Plate Application on Distal Tibia Fractures - Our Experience

Cited by 2 publications

References 14 publications

Assessment of functional outcome of lower third tibial fracture fixation with distal tibial locking plate: An observational study

Assessment of functional outcome of lower third tibial fracture fixation with distal tibial locking plate: An observational study

Fractura trimaleolar

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