Vol. 1, Issue 4 (2015)

A study of management of fracture proximal tibia by different modalities

Author(s):

Dr. Jalaluddeen Mahim Vaidyar and Dr. Hashir Safwan U

Abstract:
In the 1990s, Krettek et al. popularized Minimally Invasive Percutaneous Plate Osteosynthesis Techniques using conventional implants placed through small incisions and submuscular (subcutaneous) tunnels. Cadaveric studies demonstrated better preservation of periosteal vasculature with these minimally invasive methods than with standard open exposures for internal fixation. As part of the continued development of Biologically Friendly Plating, and to facilitate Minimally Invasive Plating Techniques, the use of plates that allow screws to lock into the plate to create a fixed angle construct is gaining popularity nowadays. Several different surgical approaches have been described for Proximal Tibial fractures (medial, lateral and combined) depending on the location of the fracture. Combined extensive approaches, in particular, are associated with high complication rates, possibly due to compromised soft tissue perfusion and/or extensive soft tissue stripping from bone fragments. A review of the recent literature demonstrates a trend toward increasingly limited open reduction and internal fixation, often in association with some form of external stabilization. Minimally invasive techniques have also been described for intra-articular fractures (metaphyseal and diaphyseo-metaphyseal) of the proximal tibia. These techniques avoid the long incisions and extensive soft tissue stripping associated with conventional techniques and are best used with shorter, lower profile plates.

Pages: 19-21  |  600 Views  203 Downloads

How to cite this article:
Dr. Jalaluddeen Mahim Vaidyar and Dr. Hashir Safwan U. A study of management of fracture proximal tibia by different modalities. Int. J. Orthop. Sci. 2015;1(4):19-21. DOI: 10.22271/ortho.2015.v1.i4a.3177