Percutaneous Plating of Distal Tibial Fractures

• DOI: 10.1177/107110070202300908
• Publication Date: 2017-01-13T19:52:01Z
• Authors: Amal Khoury; Meir Liebergall; Eli London; Rami Mosheiff
• Keywords: Valgus deformity

This article presents our experience with 24 patients who had distal tibial fractures and were treated by percutaneous plate fixation. Distribution of the according to AO/OTA classification was as follows: five suffered from a 43 A type fracture, six B 13 C fractures. Four open. Exclusion criteria included C3 Gustilo III open All showed radiographic signs union enough enable full weightbearing within an average time 12.3 weeks. good range motion (average dorsiflexion 12° plantiflexion 18°). Two united mal-union: one 8° valgus deformity another 7° varus deformity. Both cases, which metaphyseal component, means “soft” (flexible manually adjustable) AO 3.5 mm reconstruction plate. Except for case superficial infection, no infections detected in any patients. The biological fixation extensive intra-articular involvement is soft tissue preserving technique. It provides rigid anatomical most cases. We conclude that intact column can be fixed either or “rigid” plates, component should plates (AO 4.5 Dynamic Compression Plate). In these reduction performed cautiously due tendency sagittal plane mal-reduction.