Document Detail

Minimally invasive osteosynthesis of distal tibial fractures using locking plates.
MedLine Citation:
PMID:  19773055     Owner:  NLM     Status:  MEDLINE    
The management of distal tibia fractures can be challenging because of the scarcity of soft tissue, their subcutaneous nature, and poor vascularity. Classic open reduction and internal plate fixation require extensive soft tissue dissection and periosteal stripping, with high rates of complications. Minimally invasive plating techniques reduce iatrogenic soft tissue injury and damage to bone vascularity and preserve the osteogenic fracture hematoma. Locking plates (LPs) have the biomechanical properties of internal and external fixators, with superior holding power because of fixed angular stability through the head of locking screws, independent of friction fit. In this review, the rationale for the use of LPs and a description of the technique of minimally invasive LP osteosynthesis of distal tibia fractures are presented.
Mario Ronga; Chezhiyan Shanmugam; Umile Giuseppe Longo; Francesco Oliva; Nicola Maffulli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Orthopedic clinics of North America     Volume:  40     ISSN:  1558-1373     ISO Abbreviation:  Orthop. Clin. North Am.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0254463     Medline TA:  Orthop Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  499-504, ix     Citation Subset:  AIM; IM    
Department of Orthopaedic and Trauma Surgery, University of Insubria, Ospedale di Circolo, Viale L. Borri 57, 21100 Varese, Italy.
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MeSH Terms
Bone Plates*
Fracture Fixation, Internal / instrumentation*
Fracture Healing
Prosthesis Design
Surgical Procedures, Minimally Invasive / methods*
Tibial Fractures / surgery*
Treatment Outcome

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