Fractures of the distal tibia treated with polyaxial locking plating.

Abstract:

:We evaluated the healing rate, complications, and functional outcomes in 32 adult patients with very short metaphyseal fragments in fractures of the distal tibia treated with a polyaxial locking system. The average distance from the distal extent of the fracture to the tibial plafond was 11 mm. All fractures healed and the average time to union was 14 weeks. Six patients (19%) reported occasional local disturbance over the medial malleolus. There were two cases of postoperative superficial infections and evidence of delayed wound healing. Using the American Orthopaedic Foot and Ankle Society ankle score, the average functional score was 87.3 points (of 100 total possible points). Our results show the polyaxial locking plates, which offer more fixation versatility, may be a reasonable treatment option for distal tibia fractures with very short metaphyseal segments.

journal_name

Clin Orthop Relat Res

authors

Gao H,Zhang CQ,Luo CF,Zhou ZB,Zeng BF

doi

10.1007/s11999-008-0459-1

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

831-7

issue

3

eissn

0009-921X

issn

1528-1132

journal_volume

467

pub_type

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