Tibial Plafond Fractures: Changing Principles of Treatment

Bonar, Susan K.; Marsh, Joan

doi:10.5435/00124635-199411000-00001

Cited by 93 publications

(73 citation statements)

References 14 publications

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“…In combination with the poor soft-tissue cover, these fractures are often comminuted with a small metaphyseal fragment. Traditional techniques either fail to adequately reduce and hold the fracture or may further disrupt the already tenuous soft-tissue envelope [3].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous plating of distal tibial fractures

Maffulli

Toms

McMurtie

et al. 2004

International Orthopaedics

111

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We studied 20 patients (mean age 47.9€3.9, range 25-85 years) undergoing percutaneous plating of the distal tibia for 43A or 43C fractures in the period 1999-2002. Bony and functional results were classified into four categories ranging from excellent to poor. Union was achieved in all but one patient. Seven patients had angular deformities between 7 and 10, but none of these patients required further operations. No patient had a leglength discrepancy greater than 1 cm. Thirteen patients had excellent and good bone results, and none used walking aids. Seven patients reported stiffness of the operated ankle. This reported use of percutaneous techniques in the management of fractures of the distal tibial metaphysis is preliminary. However, the functional results and the lack of soft tissue complications are encouraging.

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Section: Discussionmentioning

confidence: 99%

Percutaneous plating of distal tibial fractures

Maffulli

Toms

McMurtie

et al. 2004

International Orthopaedics

111

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“…Traditional techniques may further disrupt the already damaged soft tissue envelope [15]. The concept of bridging plate osteosynthesis has been used to treat multi-fragmentary long bone shaft fractures.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Complications of Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibial Metaphyseal Fractures

Kim

Lee

Yang³

et al. 2016

IJBSBT

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“…If there is significant soft tissue loss after debridement, adequate soft tissue cover is difficult in this area hence skin graft and free flap are viable treatment options [54] . Reports in the literature on ORIF of distal tibia or pilon fractures are plagued by wound infection [55][56][57][58] . During high velocity trauma the initial injury causes massive soft tissue damage which devitalizes the tissue around the fracture site, in distal tibia the anterio medial aspect is most risk for wound infection and wound dehiscense [59] .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of distal tibia fracture by mippo using locking compression plate

Chandar¹,

Harish²,

R³

et al. 2017

Int. J. Orthop. Sci.

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Introduction:The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal tibia fracture treated by MIPPO using LCP. Methodology: The study was conducted in patients treated for distal tibia fracture (type A, B & C -AO classification) at Adichunchanagiri Institute of Medical Science, BG Nagar from the month of Nov 2013 to Nov 2015. Twenty distal tibia fracture patients were taken into the study, all were fixed with LCP by mippo, some with Bone grafting where the distal tibia fractures were associated with bone loss and communition. Patients' age ranged from 27 to 68 years with a mean of 50. Results: The sample consisted of twenty patients with 11 males and 09 were female. The patients' ages ranged from 27-68 years with a mean age of 50 years. The causes of fractures were motorvehicle accident in 13 patients and fall in 07 patients. There were no sports or industrial accidents. 12 fractures involved the right side and 08 involved the left. The average length of hospitalisation was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 2 to 10 days. The operative time ranged from 45 minutes to 120 minutes. Patients were followed up from 01 to 24 months. Functional outcome was rated as per The modified ankle score of Olerud and Molander, we got excellent results in 10 cases, good in 07, fair in 02 and poor in one patient. Conclusion:The LCP is a good implant to use for fractures of the distal tibia by mippo method. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A, B and C, osteoporotic fractures. Our early results were encouraging but long term studies are needed to prove definitively acceptable outcomes so that the technique can become part of the armamentarium of the orthopaedic trauma surgeon.

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Tibial Plafond Fractures: Changing Principles of Treatment

Cited by 93 publications

References 14 publications

Percutaneous plating of distal tibial fractures

Percutaneous plating of distal tibial fractures

Postoperative Complications of Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibial Metaphyseal Fractures

Surgical management of distal tibia fracture by mippo using locking compression plate

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