| Title | Minimally invasive osteosynthesis of distal tibial fractures using locking plates. | | Author(s) | Ronga M, Shanmugam C, Longo UG, Oliva F, Maffulli N | | Institution | Department of Orthopaedic and Trauma Surgery, University of Insubria, Ospedale di Circolo, Viale L. Borri 57, 21100 Varese, Italy. | | Source | Orthop Clin North Am 2009 Oct; 40(4):499-504, ix. | | MeSH | Bone Plates
Fracture Fixation, Internal
Fracture Healing
Humans
Prosthesis Design
Surgical Procedures, Minimally Invasive
Tibial Fractures
Treatment Outcome
| | Abstract | 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. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 19773055 |
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