Minimal Invasive fixation of distal tibial fractures donot result in rotational malalignment: A report of 24 cases with CT imaging.

Sönmez, Mehmet Mesut; Gülabi, Deniz; Uğurlar, Meriç; Uzun, Metin; Sarban, Sezgin; Şeker, Ali

doi:10.5505/tjtes.2016.59153

Ulus Travma Acil Cerrahi Derg

2016

DOI: 10.5505/tjtes.2016.59153

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Minimal Invasive fixation of distal tibial fractures donot result in rotational malalignment: A report of 24 cases with CT imaging.

Mehmet Mesut Sönmez¹,

Deniz Gülabi

Meriç Uğurlar³

et al.

Abstract: BACKGROUND:Tibial torsion is rotation of the proximal versus the distal articular axis in the transverse plane. This study used computed tomography (CT) to examine rotational malalignment in the crus following use of minimally invasive plate osteosynthesis (MIPO) technique in distal tibial fractures and evaluated effect of rotational difference on clinical outcomes and VAS scores.

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2022

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Comparison of Open Reduction and Internal Fixation With Minimally Invasive Plating in the Treatment of Distal Tibial Fractures: A Retrospective Study

Akdemir¹,

Turan²,

Türken³

et al. 2022

Cureus

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IntroductionTreatment of distal tibial fractures may be problematic due to their close proximity to the ankle joint and poor skin coverage, resulting in skin problems, deep infection, and malunion. To address these problems, minimally invasive plating methods have been described. In this study, we aimed to compare the clinical findings, radiological findings, and complication rates of patients treated with open reduction or minimally invasive plating. MethodsA total of 44 patients with distal tibial fractures with a mean follow-up period of 20.73 (12-50) months were included in this study retrospectively. The patients were divided into two groups, those who underwent open reduction and internal fixation and those treated with minimally invasive plates. The two groups were statistically compared in terms of radiological and clinical scores and complication rates (p=0.05). Comparative analysis was also performed for three fracture types in both groups. ResultsTwenty patients were treated with a minimally invasive approach and 24 patients were treated with the open reduction method. Age, gender, fracture type, and follow-up times were similar between the two groups (p>0.05). There was no statistically significant difference between postop American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score (AOFAS), anterior distal tibial angle (ADTA), or lateral distal tibial angle (LDTA) values between both groups. There was also no difference in union times or nonunion rates (p>0.05). There was no statistically significant difference in rates of superficial skin problems or deep infections between the two groups (p>0.05). In comparison regarding fracture types, patients with type C fractures seemed to have better outcomes with minimal invasive plating. ConclusionMinimally invasive plating is a good approach in the treatment of distal tibial fractures. The technique seems to be advisable, especially for patients with type C fractures. However, the rates of skin problems and deep infections are similar to those seen with the open reduction method.

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Comparison of Open Reduction and Internal Fixation With Minimally Invasive Plating in the Treatment of Distal Tibial Fractures: A Retrospective Study

Akdemir¹,

Turan²,

Türken³

et al. 2022

Cureus

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show abstract

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Minimal Invasive fixation of distal tibial fractures donot result in rotational malalignment: A report of 24 cases with CT imaging.

Cited by 1 publication

References 20 publications

Comparison of Open Reduction and Internal Fixation With Minimally Invasive Plating in the Treatment of Distal Tibial Fractures: A Retrospective Study

Comparison of Open Reduction and Internal Fixation With Minimally Invasive Plating in the Treatment of Distal Tibial Fractures: A Retrospective Study

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