Percutaneous plating of distal tibial fractures Preliminary results in 21 patients
Percutaneous plating of distal tibial fractures Preliminary results in 21 patients
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DOI：
10.1016/j.injury.2003.08.015
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发表时间：
2004-06-01
影响因子：
2.5
通讯作者：
Lindsjö, U
中科院分区：
文献类型：
--
作者：
Borg, T;Larsson, S;Lindsjö, U
We describe the surgical technique and report the outcome after closed reduction and percutaneous plating in 21 closed extraarticular distal tibial. fractures using titanium LC-DCP. A long plate was pushed subcutaneously through a small incision at the medial malleolus and fixed with screws through stab incisions. Fracture reduction was anatomical or nearly anatomical without angular displacement in 14 cases, and considered acceptable in four cases. Two patients were reoperated because of malreduction. Seventeen fractures heated within 6 months. There were two delayed unions, and two non-unions. There were two deep infections, both in diabetic patients. Follow-up by an independent observer at on average 14 (5-25) months showed various symptoms such as slightly reduced ankle mobility (9/20), reduced walking ability (11/20) or tenderness around the plate (11/20). No patient complained of knee symptoms related to the surgery.Operative treatment of closed distal tibial shaft fractures with a long titanium plate provided good anatomical results and allowed in most patients early weight-bearing. In patients with soft tissues in good condition and no risk factor for infection percutaneous plate osteosynthesis might become an attractive treatment option for fractures in the distal tibia. (C) 2003 Elsevier Ltd. All rights reserved.
