Minimally invasive locking screw plate fixation of non-articular proximal and distal tibia fractures

被引:26
作者
Ehlinger, M. [1 ]
Adam, P. [1 ]
Bonnomet, F. [1 ]
机构
[1] Hop Univ Strasbourg, Dept Orthopaed & Trauma Surg, F-67098 Strasbourg, France
关键词
Tibial fracture; Locking plate; Minimally-invasive surgery; Traumatology; INTERNAL-FIXATION; OSTEOSYNTHESIS; STABILITY; BONE; COMPRESSION; LCP;
D O I
10.1016/j.otsr.2010.03.025
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Intramedullary nailing of proximal and distal quarter tibia fractures is known to be a challenging procedure due to the metaphyseal enlargement, the reduced contact between implant and cortex and fracture comminution. Therefore, some authors suggest preferring the use of plate internal fixation in the management of these challenging fractures. The purpose of this manuscript is to present and describe our technique of minimally invasive locking plate osteosynthesis in the treatment of extra-articular proximal and distal tibia fractures. Osteosynthesis was performed by means of a locking screw plate system which construct characteristics usually allow immediate weight-bearing and early functional mobilization. This minimally invasive surgical procedure advantageously combines the principles of closed fixation with construct stability. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:800 / 809
页数:10
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