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Early Results of Minimally Invasive Percutaneous Plate Osteosynthesis for Fractures of the Distal Tibia: A Retrospective Case Series and Review of the Literature

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ABSTRACT

Minimally invasive percutaneous plate osteosynthesis was developed on the concept that preservation of the soft tissue envelope during surgical management of distal tibial fractures is of paramount importance. We report on our early experience using this technique over a 1-year period with 14 such injuries that were treated by a locking compression plate via minimally invasive surgery. The surgical reduction was excellent in most of the cases and all fractures healed uneventfully. One superficial infection and a wound slough were the only complications recorded. The mean follow-up was at 15 months, and all patients were satisfied with a mean ankle-hindfoot score of 84. Early results of such management are very encouraging.

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(A) Anteroposterior and (B) lateral views of a type B, according to the AO classification, distal tibial fracture. The fracture is (C) open, grade I, according to Gustilo.
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f1-10.1177_1179544117701724: (A) Anteroposterior and (B) lateral views of a type B, according to the AO classification, distal tibial fracture. The fracture is (C) open, grade I, according to Gustilo.

Mentions: Nine patients were men and 5 were women, with a male to female ratio of 2:1. The mean age was 41.2 years (range: 21–72 years) and both sides were equally affected. There were 3 type A, 4 type B, and 7 type C fractures, according to the AO classification.10 Three fractures were open: 2 were grade I and 1 was grade II, according to the Gustilo classification11 (Figure 1).


Early Results of Minimally Invasive Percutaneous Plate Osteosynthesis for Fractures of the Distal Tibia: A Retrospective Case Series and Review of the Literature
(A) Anteroposterior and (B) lateral views of a type B, according to the AO classification, distal tibial fracture. The fracture is (C) open, grade I, according to Gustilo.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5385485&req=5

f1-10.1177_1179544117701724: (A) Anteroposterior and (B) lateral views of a type B, according to the AO classification, distal tibial fracture. The fracture is (C) open, grade I, according to Gustilo.
Mentions: Nine patients were men and 5 were women, with a male to female ratio of 2:1. The mean age was 41.2 years (range: 21–72 years) and both sides were equally affected. There were 3 type A, 4 type B, and 7 type C fractures, according to the AO classification.10 Three fractures were open: 2 were grade I and 1 was grade II, according to the Gustilo classification11 (Figure 1).

View Article: PubMed Central - PubMed

ABSTRACT

Minimally invasive percutaneous plate osteosynthesis was developed on the concept that preservation of the soft tissue envelope during surgical management of distal tibial fractures is of paramount importance. We report on our early experience using this technique over a 1-year period with 14 such injuries that were treated by a locking compression plate via minimally invasive surgery. The surgical reduction was excellent in most of the cases and all fractures healed uneventfully. One superficial infection and a wound slough were the only complications recorded. The mean follow-up was at 15 months, and all patients were satisfied with a mean ankle-hindfoot score of 84. Early results of such management are very encouraging.

No MeSH data available.


Related in: MedlinePlus