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International Orthopaedics
Published in: International Orthopaedics 3/2004

01-06-2004 | Original Paper

Percutaneous plating of distal tibial fractures

Authors: Nicola Maffulli, Andrew D. Toms, Andrew McMurtie, Francesco Oliva

Published in: International Orthopaedics | Issue 3/2004

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Abstract

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 leg-length 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.
Literature
1.
Anglen JO (1999) Early outcome of hybrid external fixation for fracture of the distal tibia: J Orthop Trauma 13(2):92–97
2.
Baumgaertel F, Buhl M, Rahn BA (1998) Fracture healing in biological plate osteosynthesis: Injury 29 [Suppl 3]:3–6
3.
Bonar SK, Marsh JL (1994) Tibial plafond fractures: changing principles of treatment: J Am Acad Orthop Surg 2(6):297–305
4.
Bone LB (1994) Indirect fracture reduction: a technique for minimizing surgical trauma: J Am Acad Orthop Surg 2 (5):247–254
5.
Collinge CA, Sanders RW (2000) Percutaneous plating in the lower extremity. J Am Acad Orthop Surg 8(4):211–216PubMed
6.
Collinge C, Sanders R, DiPasquale T (2000) Treatment of complex tibial periarticular fractures using percutaneous techniques. Clin Orthop 375:69–77PubMed
7.
Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H (1997) Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury 28 [Suppl 1]:7–12
8.
Farouk O, Krettek C, Miclau T (1999) Minimally invasive plate osteosynthesis: does percutaneous plating disrupt femoral blood supply less than the traditional technique? J Orthop Trauma 13:401–406CrossRefPubMed
9.
Gorczyca JT, McKale J, Pugh K, Pienkowski D (2002) Modified tibial nails for treating distal tibia fractures. J Orthop Trauma 16:18–22CrossRefPubMed
10.
Helfet DL, Shonnard PY, Levine (1997) Minimally invasive plate osteosynthesis of distal fractures of the tibia. 28 [Suppl 1]:42–48
11.
Kankate RK, Singh P, Elliott DS (2001) Percutaneous plating of low energy unstable tibial plateau fractures: a new technique. Injury 32:229–232CrossRefPubMed
12.
Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H (1997) Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury 28 [Suppl 1]:20–30
13.
Megas P, Zouboulis P, Papadopoulos AX, Karageorgos A, Lambiris E. (2003) Distal tibial fractures and non-unions treated with shortened intramedullary nail. Int Orthop 27(6): 348–351PubMed
14.
Muller ME, Allgower M, Schneider (1991) Manual of Internal Fixation, 3rd edn, Springer-Verlag, Berling, Heidelberg, New York
15.
Ong C, Choon D, Cabrera N, Maffulli N (2002) The treatment of open tibial fractures and of tibial non-union with a novel external fixator. Injury 33:829–836CrossRefPubMed
16.
Paley D, Catagni MA, Argnani F, Villa A, Benedetti GB, Cattaneo R. (1989) Ilizarov treatment of tibial non-unions with bone loss. Clin Orthop 241:146–65PubMed
17.
Saleh M, Shanahan MD, Fern ED (1993) Intra-articular fractures of the distal tibia: surgical management by limited internal fixation and articulated distraction. Injury 24:37–40PubMed
18.
Thordarson DB (2000) Complications after treatment of tibial pilon fractures: prevention and management strategies. J Am Acad Orthop Surg 8(4):253–265PubMed
19.
Whiteside L, Lesker PA (1978) The effects of periosteal and subperiosteal dissection. J Bone Joint Surg [Am] 60:26–30
Metadata
Title
Percutaneous plating of distal tibial fractures
Authors
Nicola Maffulli
Andrew D. Toms
Andrew McMurtie
Francesco Oliva
Publication date
01-06-2004
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2004
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0541-6

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