Proximal Extra-articular Tibial Fractures Associated with Soft-tissue Impairment in Geriatric Patients: Definitive Treatment by Hybrid External Fixation

• DOI: 10.11648/j.js.20210902.18
• Publication Date: 2021-06-08T08:22:40Z
• Authors: Yoann Durand; Franziska Kocher; Moritz Tannast; Daniel Petek
• Keywords: Soft tissue injury

Fractures in the elderly population are a major increasing issue for any healthcare institution, associated with growing life expectancy. Proximal tibial fractures affect metaphyseal bone or without articular extension, 5 to 11% of all tibia fracture. Treatment options such as plate fixation, intramedullary nailing even primary total knee arthroplasty accepted valuable options. However, specific age-related risk factors osteoporosis, arthritis, multiple comorbidities and soft-tissue impairment shall also be taken consideration they may lead severe complications if not fully understood. Therefore, hybrid tibio-tibial external fixator considered valid surgical option definitive treatment care these especially damage. We report retrospective observational analysis three cases closed extra-articular proximal geriatric treated (TenXor, Stryker). The were classified according AO, (AO 41A2.1, 41A3.3). post-operative protocol was standardized, immediate full weight bearing. Complete consolidation obtained at 6 months. There no pin tract infection removal material has been done No cut-out wires observed. by appears patients when poor soft tissue coverage. advantage this technique, acknowledging longer process, is avoid additional insult tissues. This gathers further perspectives limitations.