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|Emad Gaber Kamel Mohamed Albana|
|Benisuef University, Egypt|
|ScientificTracks Abstracts: Orthop Muscular Syst|
|Fractures of the distal tibia can be challenging to treat because of the limited soft tissue, the subcutaneous location and poor vascularity. Minimal invasive locked plate aims to reduce surgical soft tissue trauma and preserve periosteal blood supply. This study included 26 patients between 20 and 53 years (mean 34 years), with both open and closed distal tibia pilon fractures that were intra-articular or extra-articular. All fractures were fixed using minimally invasive plate osteosynthesis under Image control using a precontoured locking compression plate – distal tibial plate. There were 11 AO 43 A, 7 AO 43 B, and 8 AO 43 C fractures including 18 closed and8 open fractures. Fracture union was achieved in 23 patients (88%), while 3 cases (12%) showed delayed union. 4 cases suffered from late infection, and plate removal was necessary, whereas 6 cases had minor wound problems and responded to conservative treatment. 22 patients (85%) returned to their work within I year, however 17 patients (85%) had not returned to their pre-injury sporting or leisure activities. 7 patients (27%) had angular deformities, all less than 7 degrees. The final ankle-hind foot score was 84.4 points. The conclusion is that short term results for treating distal pilon fractures using minimally invasive locked distal tibial plates to reduce surgical soft-tissue trauma and to help preserve periosteal blood supply and fracture hematoma appears encouraging, with union rates similar to that of ORIF techniques, but avoiding the usual associated drawbacks.|
Emad Gaber Kamel Mohamed is a Professor of Orthopedic Surgery at Benisuef University, Egypt.
Email: [email protected]
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