Two Stage Minimally Invasive Method with Locking Plate Application on Distal Tibia Fractures - Our Experience
| Autor: | Hristijan Kostov, Oliver Arsovski, Slavco Stojmenski, Igor Kaftandziev, Ilir Hasani, Ljupcho Nikolov, Simon Trpeski, Saliamet Emini |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
lcsh:Medicine anatomic pre-shaped locking plate Locking plate 03 medical and health sciences 0302 clinical medicine medicine Turning point Stage (cooking) 030222 orthopedics business.industry lcsh:R minimally invasive approach Gold standard 030208 emergency & critical care medicine General Medicine Clinical Science Distal tibia Surgery functional results Traumatology Locking plate fixation Medicine distal tibia business locking plate |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences; Vol 5 No 5 (2017): Aug 15 (OAMJMS); 630-634 Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences, Vol 5, Iss 5, Pp 630-634 (2017) Open Access Macedonian Journal of Medical Sciences; Vol 5, No 5 (2017): Aug 15 (OAMJMS); 630-634 |
| ISSN: | 1857-9655 |
| DOI: | 10.3889/oamjms.2017.099 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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