Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

Gao, Hong; Zhang, Changqing; Luo, Congfeng; Zhou, Zubin; Zeng, Bingfang

doi:10.1007/s11999-008-0459-1

Cited by 56 publications

(48 citation statements)

References 33 publications

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“…Malreduction and suboptimal pre contouring of the plate can result delayed union, non union, prominent hardware, malleolar skin irritation and pain. 23,24,26 In the present study, pain and malleolar skin irritation in six (30%) patients was common indication of implant removal. Other indications were difficulty of wearing shoes and cosmetic concern because of prominent hardware in skinny and thin patient (Fig.…”

Section: Discussionmentioning

confidence: 47%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…23 Polyaxial locking plates can be an alternative when supramalleolar anatomy mismatch with pre contoured plate because it can provide choice of screw trajectories according to fracture pattern. 24 But there is very little clinical and biomechanical study of polyaxial locking plates for distal tibia.…”

Section: Discussionmentioning

confidence: 99%

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

Shrestha¹,

Acharya²,

Shrestha³

2012

Kathmandu Univ. Med. J.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

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

Shrestha¹,

Acharya²,

Shrestha³

2012

Kathmandu Univ. Med. J.

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“…26 Average rates of infection in various studies available was between 5 to 15%. In our study superficial skin infections were seen in 3 patients (9.37%).…”

Section: Discussionmentioning

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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“…Management of distal tibia fractures, with or without articular involvement, is a therapeutic challenge [1][2][3][4]. The goal of orthopaedic surgeons is to restore the tibial anatomy, to fix the epi-metaphyseal block with the diaphysis and to avoid complications.…”

Section: Introductionmentioning

confidence: 99%

Distal tibia fractures: management and complications of 101 cases

Joveniaux

Ohl

Harisboure

et al. 2009

International Orthopaedics (SICOT)

148

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Distal tibia fractures are complex injuries with a high complication rate. In this retrospective and multicentre study we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. Between 2002 and 2004, 104 patients were admitted for 105 distal tibia fractures. One hundred patients (101 fractures) were reviewed with an average follow-up of 19 months (range, 12-46). Internal fixation, external fixation, limited internal fixation (K-wires or screws), intramedullary nailing and conservative treatment were used. Outcome parameters included occurrence of complications, radiographic analysis, evaluation of the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score and measures of the ankle range of motion. The average functional score was 76 points (range, 30-100 points), and complications occurred in 30 patients. Predictive factors of poor results were fracture severity, complications, malunion and the use of external fixation. We believe that external fixation must be reserved for trauma with severe skin injury, as a temporary solution in a two-staged protocol. For other cases, we recommend ORIF with early mobilisation.

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Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

Cited by 56 publications

References 33 publications

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

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

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

Distal tibia fractures: management and complications of 101 cases

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