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Erschienen in: Wiener klinische Wochenschrift 5-6/2017

01.03.2017 | original article

Distal tibial fractures: evaluation of different fixation techniques

verfasst von: MD Julian Jöstl, MD Thomas Manfred Tiefenböck, MD Marcus Hofbauer, MD Markus Winnisch, MD Nikolaus Lang, MD, MBA Assoc. Prof. Stefan Hajdu, MD, PD Assoc. Prof. Kambiz Sarahrudi

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2017

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Summary

Purpose

The purpose of this study was the comparison of the most commonly used surgical techniques (external fixation, intramedullary nailing, and plate fixation) for the treatment of distal tibial fractures (AO/OTA classification 42-A, B, C or 43-A, B1).

Methods

A retrospective cohort study of patients who underwent surgical treatment for distal tibial fractures between 1992 and 2011 was performed.

Results

A total of 93 patients (52 male/41 female) met inclusion criteria. Statistically significant differences were found regarding the consolidation time of the intramedullary-nailing (147.32 ± 91.16 days) and the plate-fixation group (135.75 ± 110.75 days) versus the external-fixation group (163.12 ± 96.79 days; P = 0.001; P = 0.01). Significant differences were also observed in the range of motion (ROM) of the ankle joint in the intramedullary-nailing and plate-fixation group versus the ROM in the external-fixation group (P = 0.044; P = 0.025). The overall complication rate was 13/93 (14 %). Out of 66 patients treated with intramedullary nailing, 8 (12 %) suffered from complications. Out of the 15 patients treated with plate and 12 patients with external fixation, 2 (13 %) and 3 (25 %) showed complications, respectively.

Conclusion

Our results demonstrate advantages in terms of shorter mobilization time and a better ROM of the ankle joint for intramedullary nailing and plate fixation compared with external fixation. Due to our results, we suggest internal fixation (intramedullary nailing or plate fixation) whenever patient’s condition and the local fracture situation allow it.
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Metadaten
Titel
Distal tibial fractures: evaluation of different fixation techniques
verfasst von
MD Julian Jöstl
MD Thomas Manfred Tiefenböck
MD Marcus Hofbauer
MD Markus Winnisch
MD Nikolaus Lang
MD, MBA Assoc. Prof. Stefan Hajdu
MD, PD Assoc. Prof. Kambiz Sarahrudi
Publikationsdatum
01.03.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0730-x