The surgical treatment of fractures of the lower extremity of the tibia, some aspects

Abstract

Material and methods. The authors present the results of treatment of a group of 30 patients with epimetaphyseal and metaphyseal fractures of the tibia type IC 4 1 A2-A3/AO and IC 4 3 A2-A3-B1/AO, average age 48 years. The article describes the results of practical application of the osteosynthesis methods used most often in terms of Orthopaedics and Traumatology department no. 1 of the Institute of Emergency Medicine: extrafocal ostesynthesis with rodded apparatus and a variant of the development of a relatively new surgical techniques - Minimally Invasive Plate Osteosynthesis / MIPO (indirect reduction and minimally invasive osteosynthesis with plates) with the application of the general principle in the osteosynthesis of distal metaphyseal fractures of the tibia. Results. The studied group showed no postoperative septic complications. Consolidation of the fragments (full support) on the affected limb was established in medium: over 5 months - after minimally invasive plate osteosynthesis according to MIPO principles, over 5.5 months - after extrafocal osteosynthesis with external rodded device. Assessment of treatment outcomes of patients with distal leg fractures was performed using the method Lyuboshits - Mattis - Schwartzberg 1985: from 3.5 to 4 points (good result). Good functional outcomes, over 1 year, at 20 patients examined according to the quality of life score SF36.