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. 2004 Feb 14;28(3):159–162. doi: 10.1007/s00264-004-0541-6

Percutaneous plating of distal tibial fractures

Nicola Maffulli 1,✉, Andrew D Toms 1, Andrew McMurtie 1, Francesco Oliva 1
PMCID: PMC3474497  PMID: 14968266

Abstract

We studied 20 patients (mean age 47.9±3.9, range 25–85 years) undergoing percutaneous plating of the distal tibia for 43A or 43C fractures in the period 1999–2002. Bony and functional results were classified into four categories ranging from excellent to poor. Union was achieved in all but one patient. Seven patients had angular deformities between 7 and 10°, but none of these patients required further operations. No patient had a leg-length discrepancy greater than 1 cm. Thirteen patients had excellent and good bone results, and none used walking aids. Seven patients reported stiffness of the operated ankle. This reported use of percutaneous techniques in the management of fractures of the distal tibial metaphysis is preliminary. However, the functional results and the lack of soft tissue complications are encouraging.

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References

  • 1.Anglen JO (1999) Early outcome of hybrid external fixation for fracture of the distal tibia: J Orthop Trauma 13(2):92–97 [DOI] [PubMed]
  • 2.Baumgaertel F, Buhl M, Rahn BA (1998) Fracture healing in biological plate osteosynthesis: Injury 29 [Suppl 3]:3–6 [DOI] [PubMed]
  • 3.Bonar SK, Marsh JL (1994) Tibial plafond fractures: changing principles of treatment: J Am Acad Orthop Surg 2(6):297–305 [DOI] [PubMed]
  • 4.Bone LB (1994) Indirect fracture reduction: a technique for minimizing surgical trauma: J Am Acad Orthop Surg 2 (5):247–254 [DOI] [PubMed]
  • 5.Collinge J Am Acad Orthop Surg. 2000;8:211. doi: 10.5435/00124635-200007000-00001. [DOI] [PubMed] [Google Scholar]
  • 6.CollingeClin Orthop 20003756910853155 [Google Scholar]
  • 7.Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H (1997) Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury 28 [Suppl 1]:7–12 [DOI] [PubMed]
  • 8.Farouk J Orthop Trauma. 1999;13:401. doi: 10.1097/00005131-199908000-00002. [DOI] [PubMed] [Google Scholar]
  • 9.Gorczyca J Orthop Trauma. 2002;16:18. doi: 10.1097/00005131-200201000-00004. [DOI] [PubMed] [Google Scholar]
  • 10.Helfet DL, Shonnard PY, Levine (1997) Minimally invasive plate osteosynthesis of distal fractures of the tibia. 28 [Suppl 1]:42–48 [DOI] [PubMed]
  • 11.Kankate Injury. 2001;32:229. doi: 10.1016/S0020-1383(00)00118-2. [DOI] [PubMed] [Google Scholar]
  • 12.Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H (1997) Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury 28 [Suppl 1]:20–30 [DOI] [PubMed]
  • 13.Megas Int Orthop. 2003;27:348. doi: 10.1007/s00264-003-0499-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Muller ME, Allgower M, Schneider (1991) Manual of Internal Fixation, 3rd edn, Springer-Verlag, Berling, Heidelberg, New York
  • 15.Ong Injury. 2002;33:829. doi: 10.1016/S0020-1383(02)00117-1. [DOI] [PubMed] [Google Scholar]
  • 16.Paley Clin Orthop. 1989;241:146. [PubMed] [Google Scholar]
  • 17.SalehInjury 199324378432573 [Google Scholar]
  • 18.Thordarson J Am Acad Orthop Surg. 2000;8:253. doi: 10.5435/00124635-200007000-00006. [DOI] [PubMed] [Google Scholar]
  • 19.Whiteside L, Lesker PA (1978) The effects of periosteal and subperiosteal dissection. J Bone Joint Surg [Am] 60:26–30 [PubMed]

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