MINIMALLY INVASIVE OSTEOSYNTHESIS WITH PLATE OR NAIL FOR META-DIAPHYSEAL TIBIAL FRACTURES - WHAT IS BETTER?
The aim of this article is to review the surgical techniques for minimally invasive osteosynthesis and associated complications with application of locking compression plates, which have undeniable biomechanical and biological advantages in the treatment of multifragmentary meta-diaphyseal tibial...
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| Format: | Article |
| Language: | English |
| Published: |
Trakia University
2023-12-01
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| Series: | Trakia Journal of Sciences |
| Subjects: | |
| Online Access: | http://tru.uni-sz.bg/tsj/Volume%2021,%202023,%20Number%204,%20Series%20Biomedical%20Sciences/9-B.Makelov.pdf |
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| Summary: | The aim of this article is to review the surgical techniques for minimally invasive osteosynthesis and
associated complications with application of locking compression plates, which have undeniable
biomechanical and biological advantages in the treatment of multifragmentary meta-diaphyseal tibial
fractures. Unstable proximal tibial fractures include a vast majority of fracture patterns affecting the lower
extremities. Most of the fracture types are as a result of high-energy trauma from car accidents, high-altitude
injury or motor vehicle incident. Usually, those fractures present with severe soft tissue injury with varying
degrees of intra-articular fracture involvement. Intramedullary nailing of tibial fractures as a proven method
of biologic fixation and represents one of the most widely used methods for the treatment of unstable fractures
involving the proximal meta-diaphyseal area of the tibia, allowing sufficient fracture stability during the
early limb movement and weight bearing on the leg. Nevertheless, the complications and technical difficulties
in its application raise the question for the choice of an appropriate implant in the treatment of these fracture
models in terms of their morphology. Minimally invasive percutaneous plate osteosynthesis with indirect
reduction and biologic fixation has the advantage of spearing the local blood flow, even in severely
comminuted tibial fracture patterns. The use of pre-contoured locking compression plates for proximal tibia
allows stable fixation with good and excellent final clinical results. |
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| ISSN: | 1313-3551 |