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Percutaneous plating of distal tibial fractures: Preliminary results in 21 patients
Östersund Hospital, Östersund, Sweden.
Uppsala University Hospital, Uppsala, Sweden.
Uppsala University Hospital, Uppsala, Sweden.
2004 (English)In: Injury, ISSN 0020-1383, E-ISSN 1879-0267, Vol. 35, no 6, p. 608-614Article in journal (Refereed) Published
Abstract [en]

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 healed 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.

Place, publisher, year, edition, pages
Elsevier, 2004. Vol. 35, no 6, p. 608-614
Keywords [en]
Tibial shaft fractures, Osteosynthesis, Closed, Percutaneous, Minimally invasive plate fixation
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:oru:diva-83126DOI: 10.1016/j.injury.2003.08.015ISI: 000221589900010PubMedID: 15135281Scopus ID: 2-s2.0-2342586556OAI: oai:DiVA.org:oru-83126DiVA, id: diva2:1439914
Available from: 2020-06-12 Created: 2020-06-12 Last updated: 2022-11-25Bibliographically approved

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CiteExportLink to record
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