Abstract:

BACKGROUND: To ensure anatomical reduction, traditional plate internal fixation strips extensive periosteum to expose the fracture during treatment of distal tibial fracture, resulting in adverse effects, such as infection, wound, infection and delayed bone healing.
OBJECTIVE: To evaluate the clinical effects of locking compression plate with minimally invasion percutaneous plate osteosynthesis on diaphyseal and distal tibial fracture.
METHODS: A total of 32 patients with diaphyseal and distal tibial fracture were selected, including 26 males and 6 females, aged 18-76 years. They were treated with locking compression plate with minimally invasion percuteoneous plate osteosynthesis through closed reduction and minimal incision approach. After the operation, the patients were followed-up and examined by X-ray. The treatment effects were evaluated using Johner-Wruhs score assessment.
RESULTS AND CONCLUSION: The 30 patients were followed up for 16 months. The fracture was healed, for an average healing time of 14 weeks. Two patients developed incision infection, 4 presented skin stimulation symptoms, 1 had screw breakage (Breakage was not detected by preoperative X-ray), 1 plate breakage, and 1 had superficial peroneal nerve injury. Johner-Wruhs score was excellent in 22 cases, good in 6, and fair in 2. The total excellent to good rate was 93%. Results show that locking compression plate with minimally invasion percuteoneous plate osteosynthesis in treatment of diaphyseal and distal tibial fracture leads to limited invasion, reliable fixation, low rate of complication, high rate of union, and well matches biological fixation principles.