Fractures of the distal tibia treated with closed reduction and minimally invasive plating

Krackhardt, T.; Dilger, John A.; Flesch, Ingo; Höntzsch, D; Eingartner, C.; Weise, K.

doi:10.1007/s00402-004-0778-y

Cited by 74 publications

(53 citation statements)

References 7 publications

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“…Malalignment has been recognized as a potential pitfall when using MIPO techniques because the bone is not directly visualized. With the MIPO technique and conventional or monoaxial locking plate osteosynthesis for fractures of the distal tibia, 7% to 35% of distal tibia fractures have been reported to have problems with malalignment [6,19,21,23,26,29,31]. In our series, no cases of postoperative malalignment were observed and no cases of postoperative stability failure were seen.…”

Section: Discussionmentioning

confidence: 53%

“…The treatment of fractures of the distal tibia with or without intraarticular involvement is associated with high complication rates and provides a management challenge to orthopaedists [5,23,25]. The fixation options for a distal tibial fracture include hybrid external fixation, limited internal fixation with external fixation, traditional open reduction internal fixation (ORIF), minimally invasive plate osteosynthesis (MIPO), fine-wire fixation, or possibly intramedullary nailing [2,4,11,28,33].…”

Section: Introductionmentioning

confidence: 99%

“…Encouraging results for closed reduction and percutaneous plating of distal tibial fractures have been reported using contoured dynamic compression plates [6,19,31]. Recently, there has been an increasing trend toward use of a locking plate for treatment of complex fractures of the distal part of the tibia [10,17,18,23,27]. This device allows the screws to lock to the plate, thereby creating a stable, fixed-angle device.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

Gao

Zhang

Luo

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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We evaluated the healing rate, complications, and functional outcomes in 32 adult patients with very short metaphyseal fragments in fractures of the distal tibia treated with a polyaxial locking system. The average distance from the distal extent of the fracture to the tibial plafond was 11 mm. All fractures healed and the average time to union was 14 weeks. Six patients (19%) reported occasional local disturbance over the medial malleolus.

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

Gao

Zhang

Luo

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…Consensus started to develop that open surgical techniques inflict additional trauma to the soft tissues around the tibialpilon. 16 MIPO technique avoids large surgical incisions and the fractured segment along with its periosteal and muscular attachments is left undisturbed. Small incisions are used for introducing and sliding of the plate submuscularly along the shaft of tibia.…”

Section: Discussionmentioning

confidence: 99%

Operative outcome of high energy pilon fractures: a retrospective comparison between internal fixation and Ilizarov external fixation

et al. 2017

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Background: Pilon fractures are serious injuries with many devastating soft-tissue complications associated with them. Deciding a definite treatment plan has always proved a challenge. Comparative studies between the various surgical techniques used for pilon fractures are uncommon and consensus is yet to be reached regarding the best surgical option. Purpose of this study is to retrospectively compare the operative results (complications, functional and radiographic outcomes) of pilon fractures treated either with internal fixation or Ilizarov ring fixators.Methods: Forty-six patients with pilon fractures were retrospectively studied; twenty-one of them had minimal invasive fixation by ankle spanning Ilizarov fixators and 25 patients had internal fixations by either minimal invasive plate osteosynthesis (MIPO) or by open reduction. The patients were followed-up for a mean of 34 months (range, 24-51 months).Results: The internal fixation group had a higher incidence of soft-tissue complications and deep infections. In comparison the Ilizarov group had only superficial pin-tract infections but no other soft-tissue complications. Although the Ilizarov group had a higher incidence of malreduction and malunion in their series compared to the internal fixation group, there was no significant difference in the AOFAS ankle function score (p-value 0.2922) between the two groups after a follow-up of 2-4 years.Conclusions: The moderately long term functional outcome appears to be similar in both internal fixation and Ilizarov groups. But the Ilizarov technique is less likely to cause any serious peri-operative soft-tissue complications or deep infection. Familiarity of the surgeon with a particular technique should also be considered during surgical decision making.

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“…The plate acts bone vascularity and haematoma, resulting in secondary bone healing. 9,10 Results of MIPO for unstable distal tibial fractures are promising. 11,12 Patients who underwent MIPO for distal tibial fractures were reviewed in this study.…”

Section: Introductionmentioning

confidence: 99%