Posterior approach using a proximal humeral internal locking system long plate for open fractures of the distal tibia: A report of three cases
| Autor: | Hidenori Matsubara, Kazuo Ikeda, Naoki Osamura |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Posterior approach law.invention Intramedullary rod Fracture Fixation Internal Fractures Open 03 medical and health sciences External fixation 0302 clinical medicine law Humans Medicine Internal fixation Orthopedics and Sports Medicine 030212 general & internal medicine Malunion Tibia 030222 orthopedics Osteosynthesis business.industry Soft tissue Middle Aged musculoskeletal system medicine.disease Surgery Tibial Fractures business Bone Plates |
| Zdroj: | Journal of Orthopaedic Science. 21:552-556 |
| ISSN: | 0949-2658 |
| DOI: | 10.1016/j.jos.2015.06.002 |
| Popis: | Open fractures of the distal tibia are a high-energy injury, and difficult to treat because these fractures are often associated with extensive soft tissue damage and bone defects [1]. Although external fixation is often performed initially, staged internal fixation following external fixation is desirable because long-term external fixation can lead to pin-tract infection, delayed union, malunion, loosening, and stress to the patient [2,3]. Intramedullary nailing is an option for tibial shaft fractures, but not for fractures of the distal tibia with periarticular fragments [4]. Recent reports show that minimally invasive locking plate osteosynthesis (MIPO) is effective for treating closed and open fractures of the distal tibia [5e8]. However, wound breakdown has been reported with MIPO because the locking plate is usually placed on the anteromedial surface of the tibia, where there is little subcutaneous tissue. Because wounds are often located on the anterior tibia in open fractures of the distal tibia, MIPO is not always the best choice considering the possibility of wound complications [7]. We propose a surgical procedure for open fractures of the distal tibia to prevent complications associated with traditional plate fixation, including MIPO and report the use of proximal humeral internal locking system (PHILOS) long plate fixation through a posterior approach for three cases of open distal tibial fracture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|