ABSTRACT
Background@#Treatment of adult tibiofibular fractures, especially severely comminuted fractures, is technically challenging due to the lack of reduction markers and difficulty in restoring the alignment. Fixation of the fibula can facilitate reduction of the tibia fracture and restoration of the lower extremity alignment.@*Methods@#Between 2018-2019 we have operated on 50 patients who have lie on the same plane of tibiafibular fractures. Measures of angulation were obtained from radiographs taken immediately after the surgery, a second time 3 months later, and at 3-month follow-up. The analysis was performed with STATA.@*Results@#Fixating fractures of tibia and fibula at same level were not shown to have complications on the development of nonunion including fibular shortening, hindfoot alignment, slow process of nonunion and unstableness.@*Conclusions@#We recommend fibular fixation in all 50 distal fractures when both fractures lie on the same plane and the tibial fracture is relatively stabilized.
ABSTRACT
PURPOSE: To evaluate the clinical results between interlocking intramedullary nail with fibular fixation and nail only for treating distal tibiofibular diaphyseal fractures. MATERIALS AND METHODS: From March 2003 to September 2006, 19 distal tibiofibular fractures were antegrade nailed after anatomical reduction and fixation of fibular fractures, and another 37 fractures fixed with nails only. Average age of patients was 48.6 years. These two groups were compared by VAS (visual analogue scale)&ankle ROM according to degree of comminution and fracture configuration. The statistical analysis was evaluated by t-test. RESULTS: There was no statistical difference between fibular fixation group and non-fixation group in VAS score according to fracture comminution and configuration (p>0.05). However, compared according to fracture configuration, mean ankle eversion of fibular fixation group in oblique fractures was 18.3 degrees, and that of non-fixation group was 12.5 degrees (p<0.05). In addition, mean ankle plantar flexion, dorsiflexion, inversion and total ankle ROM of fibular fixation group in spiral fractures was 40.0, 20.0, 30.0 and 108.3 degrees of each and that of non-fixation group was 38.3, 18.5, 27.0 and 101.7 degrees (p<0.05). CONCLUSIONS: In oblique and spiral fractures of distal tibiofibular diaphysis, interlocking intramedullary nail with fibular fixation had the advantage in postoperative ankle ROM. So, it can be a worthy method for the treatment of distal tibiofibular diaphyseal fractures.
Subject(s)
Animals , Humans , Ankle , Diaphyses , Fracture Fixation, Intramedullary , Imidazoles , Nails , Nitro CompoundsABSTRACT
Objective To discuss clinical results of the percutaneous minimally invasive LC DCP plating in treatment of tibiofibular fractures which was based on biological osteosynthesis and indirect reduction. Methods 28 patients with tibiofibular fractures were treated with indirect reduction and LC DCP plating through the tunnel inside tibia. Results All the patients were followed up for 10 to 18 months (averaging 15 m). X ray films showed that the callus appeared 4 to 7 weeks postoperatively (averaging 4.6 w). The fracture healing time were 12 to 18 weeks (averaging 12.8w). All the patients healed without fracture nonunion, delayed union or plate loosening. Plates were removed without refracture in 15 patients. Conclusions The percutaneous minimally invasive LC DCP plating for tibiofibular fractures can meet the major requirements of biological osteosynthesis and result in good results.