Introduction: Tibial fractures accompanied by radius fractures at typical
sites are the most common type of fractures. Objective: The study is aimed at
using the examined sample to make an efficient and economically acceptable
choice in the treatment of tibial diaphyseal fractures. Material and methods:
The series comprises a retrospective and prospective study of the treatment
of 131 fresh tibial fractures: 31 in women (23.66%) and 100 in men (76.34%)
of the average age of 37.89. Nineteen patients (14.50%) were treated
conservatively and 112 (85.50%) surgically: 22 (16.79%) with anti-rotation
intramedullary nails, 74 (56.49%) with Mitkovic external fixator type M20,
and 16 (12.21%) with locking compression plate. General anaesthesia was used
in 46 patients (35.11%), while spinal anaesthesia was used in 85 of them
(64.89%). Results: According to the Karlstrom-Olerud scoring system, the
treatment results were as follows: for the 22 tibiae treated with
anti-rotation intramedullary nails: in 15(68.18%) the results were excellent,
in 3 (13.64%) they were good and in 4(18.18%) they were poor. As for the
results for the 74 tibiae treated with Mitkovic external fixator type M20,
they were as follows: in 62(83.78%) excellent, in 9(12.16%) good, and in
3(4.05%) they were poor. The results for the 16 patients treated with locking
compression plate were excellent in 10(62.50%), good in 2(12.50%) and poor in
4 patients (25.00%). The treatment results for the 19 tibiae treated with
plaster cast were excellent in 12 patients (63.16%), good in 2(10.53%) and
poor in 5 (26.32%). The definite results for the 131 fractured tibiae treated
with the aforementioned techniques were as follows: excellent in 99(75.57%),
good in 17 (12.98%) and poor in 15 patients (11.45%). Discussion: There is a
variety of controversial positions concerning the treatment of the tibial
diaphysis. Conclusion: On the basis of the results of surgical treatment for
the given series, the number of surgical interventions, the price of
osteosynthetic material, my preferences in treating tibial diaphyseal
fractures would be as follows: Mitkovic external fixator type M20,
anti-rotation intramedullary nails and locking compression plate.
Conservative treatment is indicated when the X-ray examination confirms that
the fragments have a position acceptable for conservative treatment with
plaster cast.
Osteosynthesis of Distal Tibial Fractures Using Anterolateral Distal Tibia Locking Compression Plate
