Locking compression plate treatment of distal tibial fractures.docVIP

 PAGE \* MERGEFORMAT 10 Locking compression plate treatment of distal tibial fractures Author: Yu Chun Fu, Jian-Guo Zheng, Guo Haihua [Abstract] Objective To investigate the locking compression plate treatment of distal tibial fractures in clinical efficacy. Methods in March 2006 ~ March 2008 36 cases of distal tibial fractures treated with locking compression plate treatment. Results All patients received 3 to 17 months, an average of 12 months follow-up, all fractures healed fracture healing time was 13 to 20 weeks, an average of 15 weeks. The evaluation criteria according to Johner Wruhs excellent in 27 cases, good in 6 cases, in 2 cases and poor in 1 case. 3 cases of superficial wound infection healed after changing dressing. Conclusion locking compression plate fixation surgical trauma, fixed and reliable, high rate of fracture healing is the treatment of distal tibial fractures ideal way. [Keywords:] of distal tibial fractures; open reduction; locking compression plate Distal tibial fractures is a more complex fractures, particularly in high-energy distal tibial fractures involving the articular surface is often of violence not only caused significant bone destruction, but also caused severe soft tissue damage. As the distal tibial blood supply is poor, coupled with soft tissue meager and can not provide a good blood supply and protection, skin necrosis, infection, osteomyelitis, delayed union or nonunion fractures and joint dysfunction, the incidence of complications such as high, the treatment of traumatic orthopedic problems. Locking compression plate in the treatment of distal tibial fractures surgical incision in the design and operation to minimize the soft tissue dissection to protect the fracture of the blood supply, reducing the incidence of complications. While its obvious advantages in the mechanical aspect to meet the need for compression fractures of the fixed part of the requirements of osteoporotic fractures in a fixed great stability.