| Minimally invasive osteosynthesis of distal tibial fractures using locking plates. | |
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MedLine Citation:
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PMID: 19773055 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mario Ronga; Chezhiyan Shanmugam; Umile Giuseppe Longo; Francesco Oliva; Nicola Maffulli |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Orthopedic clinics of North America Volume: 40 ISSN: 1558-1373 ISO Abbreviation: Orthop. Clin. North Am. Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-23 Completed Date: 2009-10-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0254463 Medline TA: Orthop Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 499-504, ix Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic and Trauma Surgery, University of Insubria, Ospedale di Circolo, Viale L. Borri 57, 21100 Varese, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bone Plates* Fracture Fixation, Internal / instrumentation* Fracture Healing Humans Prosthesis Design Surgical Procedures, Minimally Invasive / methods* Tibial Fractures / surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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