Staged Protocol in Treatment of Open Distal Tibia Fracture: Using Lateral MIPO
Clinics in Orthopedic Surgery
;
: 69-76, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-115529
ABSTRACT
BACKGROUND:
To evaluate the radiological, clinical results in patients with open distal tibia factures, who were treated with a staged treatment protocol using the lateral minimally invasive plate osteosynthesis (MIPO) technique.METHODS:
From January 2007 to June 2009, 10 patients with open distal tibia fractures (Gustilo-Anderson classification II, 3; IIIA, 1; IIIB, 6) were treated using a staged treatment protocol. The initial debridement and application of an external fixator were performed within 24 hours and the mean interval from injury to definitive surgical treatment was 15 days (range, 6 to 52 days). Eight weeks later, an additional bone graft was performed in 3 patients. The follow-up duration was more than 1 year.RESULTS:
The mean fracture healing time was 21 weeks (range, 17 to 28 weeks), and the average Iowa ankle rating score was 84.5 points. At the last follow-up, there was no non-union, angular deformity > 5degrees, shortening > 10 mm or infection. In 10 patients, 2 patients had a superficial wound infection, and another 2 patients showed limitation of ankle joint motion.CONCLUSIONS:
This staged treatment protocol using a lateral MIPO technique is a useful alternative method for achieving high functional recovery with good healing and low complication rates in patients with an open distal tibia fracture.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fraturas da Tíbia
/
Protocolos Clínicos
/
Fixadores Externos
/
Transplante Ósseo
/
Resultado do Tratamento
/
Traumatismos do Tornozelo
/
Desbridamento
/
Tratamento de Ferimentos com Pressão Negativa
/
Fixação Interna de Fraturas
/
Fraturas Expostas
Tipo de estudo:
Guia de Prática Clínica
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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