Treatment of distal fractures of the tibia

Treatment of distal fractures of the tibia

Alternative title Tratamento das fraturas distais da tíbia
Author Labronici, Pedro José Autor UNIFESP Google Scholar
Franco, Jose Sergio Google Scholar
Silva, Anselmo Fernandes da Google Scholar
Cabral, Felipe Martins de Pina Google Scholar
Soares, Marcelo da Silva Google Scholar
Lourenco, Paulo Roberto Barbosa de Toledo Google Scholar
Hoffmann, Rolix Google Scholar
Fernandes, Hélio Jorge Alvachian Autor UNIFESP Google Scholar
Reis, Fernando Baldy dos Autor UNIFESP Google Scholar
Institution Hosp Santa Teresa
Universidade Federal do Rio de Janeiro (UFRJ)
Hosp Ipanema
Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: to compare the results of fibula fixation (or non fixation) in the treatment of fractures located in the distal third of the tibia, by using intramedullary nailing and bridge plate. Method: 47 fractures on 47 patients were studied. Twenty-one patients were treated with non-reamed, interlocking intramedullary nailing, and 26 patients were treated with wide or narrow dynamic compression plates (using a minimally invasive technique). All of the fibular fractures were located at the same level or below tibial fractures. Results: in the group of patients treated with fibula fixation, the average healing time was 14.6 weeks. In the group of patients treated without fibula fixation, the average healing time was 14.3 weeks. In the group of patients treated with fibula fixation a significantly smaller proportion of valgus angular deviation (6.3%) was observed compared to the group of patients treated without fibula fixation (32.3%). Conclusions: The benefits of fibula fixation remain controversial when tibial fractures are associated. Regarding fracture healing, there was no significant difference between the studied fracture groups.
Keywords Osteosynthesis
Bone plates
Orthopedic pin
Tibia fracture
Language English
Date 2009-01-01
Published in Acta Ortopedica Brasileira. Sao Paulo Sp: Atha Comunicacao & Editora, v. 17, n. 1, p. 40-45, 2009.
ISSN 1413-7852 (Sherpa/Romeo, impact factor)
Publisher Atha Comunicacao & Editora
Extent 40-45
Origin http://dx.doi.org/10.1590/S1413-78522009000100008
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000267246200008
SciELO ID S1413-78522009000100008 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/42016

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