scholarly journals Comment on Piątkowski et al.: Comparison of different locking plate fixation methods in distal tibia fractures

2015 ◽  
Vol 40 (4) ◽  
pp. 859-859 ◽  
Author(s):  
You Zhou ◽  
Tao Xiao
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Locking Plate Fixation ◽  
Fixation Methods ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

scholarly journals Comparison of different locking plate fixation methods in distal tibia fractures

2015 ◽  
Vol 39 (11) ◽  
pp. 2245-2251 ◽  
Author(s):  
Krzysztof Piątkowski ◽  
Piotr Piekarczyk ◽  
Krzysztof Kwiatkowski ◽  
Mateusz Przybycień ◽  
Bartłomiej Chwedczuk
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Locking Plate Fixation ◽  
Fixation Methods ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

scholarly journals Two Stage Minimally Invasive Method with Locking Plate Application on Distal Tibia Fractures - Our Experience

2017 ◽  
Vol 5 (5) ◽  
pp. 630-634
Author(s):  
Ilir Hasani ◽  
Igor Kaftandziev ◽  
Slavco Stojmenski ◽  
Simon Trpeski ◽  
Hristijan Kostov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Functional Outcomes ◽  
Locking Plate ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Locking Plate Fixation ◽  
Two Stage ◽  
Tibia Fractures ◽  
Invasive Method ◽  
Distal Tibia Fractures

INTRODUCTION: In the past distal tibia fractures, including intraarticular fractures, frequently led to poor functional outcomes. The Ruedi-Allgower four steps open method, and later the Patterson and Sirkin recommendations for delayed operative treatment has made a drastic advancement in the treatment of these fractures. The two-stage minimally-invasive protocol using locking plate fixation proved a historical turning point, improving functional results to the highest levels compared to all other methods.AIM: To present the superior results of the two-stage minimally-invasive method using locking plate fixation, making this a historic step forward in treating distal tibia fractures.MATERIAL AND METHODS: A prospective longitudinal study, collecting data from Traumatology-Clinic in the 2014-2016 periods, available for nine-month follow-up. Twenty-three patients were finally included in the study.RESULTS: In analysing the data collected, we focused our attention on the final functional outcomes as indicated by dorsiflexion nine months after injury and also according to the AOFAS Ankle-Hindfoot Scale. Results were excellent with no or minimal consequences. Where complications were present, these were benign and did not require further surgery.CONCLUSION: We believe this modern method for the treatment of distal tibia fractures should be applied routinely and considered as the gold standard in this domain.

scholarly journals Study of outcomes of metaphyseal plate fixation in extra articular lower tibia fractures in adults

2017 ◽  
Vol 3 (3) ◽  
pp. 456
Author(s):  
Pratik J. Vinchhi ◽  
Sharvil H. Gajjar ◽  
Tirth Vyas ◽  
Yatin Patel
Keyword(s):  
Traffic Accidents ◽  
Open Fracture ◽  
Road Traffic ◽  
Functional Result ◽  
Plate Fixation ◽  
Distal Tibia ◽  
Aofas Score ◽  
Closed Fracture ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The purpose of the present study was to see results of metaphyseal plate fixation in fractures of distal tibia in adults.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a retrospective study of 45 patients with 45 open fractures of tibia operated primarily by either Solid Titanium or Stainless steel tibia interlocking nail within 24 hours of injury</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In Our Study we had studied 30 lower tibial fractures treated by precontoured metaphyseal anatomical plate. 24 (80%) patients were male. 19 patients were 20-45 years age group. Mean age was 34 years. 24(80%) fractures were due to Road traffic accidents. We had 26 (86%) patients with closed fracture and 4(14%) patients with open fracture. Average time of surgery in our series was 52 minutes. 6(20%) patients had infection. And 2(6.67%) patients had nonunion and both were due to infection and required implant removal and conversion to external fixation. Average time for fracture union was 18 months. In our study of 30 patients 23(76.67%) patients had good to excellent results as assessed by AOFAS score. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">From this study we can conclude that when properly indicated the use of anatomically precontoured medial tibial metaphyseal plate in treatment of distal tibia fractures gives good union and good functional result.</span></p>

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