TY - JOUR
T1 - Minimally Invasive Osteosynthesis of Distal Tibial Fractures Using Locking Plates
AU - Ronga, Mario
AU - Shanmugam, Chezhiyan
AU - Longo, Umile Giuseppe
AU - Oliva, Francesco
AU - Maffulli, Nicola
PY - 2009/10
Y1 - 2009/10
N2 - The management of distal tibia fractures can be challenging because of the scarcity of soft tissue, their subcutaneous nature, and poor vascularity. Classic open reduction and internal plate fixation require extensive soft tissue dissection and periosteal stripping, with high rates of complications. Minimally invasive plating techniques reduce iatrogenic soft tissue injury and damage to bone vascularity and preserve the osteogenic fracture hematoma. Locking plates (LPs) have the biomechanical properties of internal and external fixators, with superior holding power because of fixed angular stability through the head of locking screws, independent of friction fit. In this review, the rationale for the use of LPs and a description of the technique of minimally invasive LP osteosynthesis of distal tibia fractures are presented.
AB - The management of distal tibia fractures can be challenging because of the scarcity of soft tissue, their subcutaneous nature, and poor vascularity. Classic open reduction and internal plate fixation require extensive soft tissue dissection and periosteal stripping, with high rates of complications. Minimally invasive plating techniques reduce iatrogenic soft tissue injury and damage to bone vascularity and preserve the osteogenic fracture hematoma. Locking plates (LPs) have the biomechanical properties of internal and external fixators, with superior holding power because of fixed angular stability through the head of locking screws, independent of friction fit. In this review, the rationale for the use of LPs and a description of the technique of minimally invasive LP osteosynthesis of distal tibia fractures are presented.
KW - Distal tibial fractures
KW - Locking plates
KW - Minimally invasive plate osteosynthesis
KW - Percutaneous
KW - Tibial plafond fractures
KW - Tibial pylon fractures
UR - http://www.scopus.com/inward/record.url?scp=70249092518&partnerID=8YFLogxK
U2 - 10.1016/j.ocl.2009.05.007
DO - 10.1016/j.ocl.2009.05.007
M3 - Review article
SN - 0030-5898
VL - 40
SP - 499
EP - 504
JO - Orthopedic Clinics of North America
JF - Orthopedic Clinics of North America
IS - 4
ER -