Minimally invasive versus open reduction and plate fixation in the repair of distal tibial fractures

doi:10.3969/j.issn.2095-4344.2014.26.014

Abstract

Abstract:

BACKGROUND: In recent years, minimally invasive percutaneous plate fixation has been a selectable method to repair fracture of lower limbs, especially complex fracture of lower limbs. Its advantages are to reduce the damage to soft tissues, and do not destroy bone nutrient supply vessels. However, there is no unified criterion to select which method in the repair of distal tibial fractures.
OBJECTIVE: To observe clinical effects of minimally invasive percutaneous plate fixation versus open reduction and plate fixation in the repair of distal tibial fractures.
METHODS: A total of 60 cases of distal tibial fractures treated with minimally invasive percutaneous plate osteosynthesis (n=35) and open reduction and plate fixation (n=25) were selected. The time of surgery was identified by evaluating soft tissue. We should pay attention to the protection of soft tissue in surgery and reasonable fixation method should be selected. After fixation, we guided patients to do active early functional exercise. They were followed up and regularly received X-ray reexamination. Operation time, weight loading time, healing time and functional recovery were observed and the clinical therapeutic effects of the two methods were compared.
RESULTS AND CONCLUSION: All patients were followed-up after surgery. They were followed up for 3 to 15 months. No significant difference in healing time of type A fracture was detected between minimally invasive percutaneous plate fixation and open reduction and plate fixation. The healing time of types B and C fracture was better in minimally invasive percutaneous plate fixation group than in open reduction and plate fixation group. These results indicated that minimally invasive percutaneous plate fixation in repair of tibial fractures, especially distal complex tibial fractures, is an effective method. The healing rate of fracture was high, but postoperative complications were less.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: internal fixators, tibia, fractures, bone, fracture healing

CLC Number:

R318

Huang Shao-hui, Xie Zhang-jia, Li Lan-quan, He Sheng, Chen Tian. Minimally invasive versus open reduction and plate fixation in the repair of distal tibial fractures[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(26): 4173-4178.

Figures/Tables 3

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