Open reduction and internal fixation treatment of distal tibia fracture with Wise lock plate followed by two year follow up
Keywords:Distal tibia fracture, Partial articular, Wise-lock implant
Background: Distal tibial fractures are high energy injuries with high complication rate. The objective of this study was to reduce the postoperative complications of distal tibial fracture by using indigenously manufactured implants (plates and screws).
Methods: This was a prospective study of 10 patients (6 patients had 43-B1 fracture, 4 patients had 43-B2 fracture) with two year follow up period followed by physical exercises after one month of the surgery. The fractures were treated with 3.5 mm Wise lock medial distal tibia plate. X-ray was used to check the union, non-union. Functional outcomes were assessed with visual analog scale (VAS) score.
Results: X-ray was showing good results. Average VAS score was 1.5 (90%) 9 patients and 2.5 (10%) in 1 patient. At the end of the first year VAS score is 2 for one patient with 9 others having 1 and at the end of the second year the VAS score is 0 for 9 patients and 1 for one patient.
Conclusions: Treatment of distal tibial fracture with 3.5 mm Wise lock medial distal tibia plate shows good outcomes with less complications.
Mangukiya HJ, Mahajan NP, Pawar ED, Mane A, Manna J. Functional and radiological outcome in management of compound tibia diaphyseal fracture with AO monolateral fixator versus Limb reconstruction system. J Orthop. 2018;15:275-81.
Gabriel AA, Stefanos L, Ananda MN. Early Results of Minimally Invasive Percutaneous Plate Osteosynthesis for Fractures of the Distal Tibia: A Retrospective Case Series and Review of the Literature. Clin Med Insights: Arthritis Musculoskeletal Disorders. 2017;10:1-7.
Zhang JW, Ebraheim NA, Li Ming, He XF, Schwind J, Zhu LM, et al. Distal tibial fracture: An ideal indication for external fixation using locking plate. Chin J Traumatol. 2016;19:104-8.
Berg JVD, Monteban P, Roobroeck M, Smeets B, Nijs S, Hoekstra H. Functional outcome and general health status after treatment of AO type 43 distal tibial fractures. Injury. 2016;47(7):1519-24.
Khoury A, Liebergall M, London E, Mosheiff R. Percutaneous Plating of Distal Tibial Fractures. Foot Ankle Int. 2002;23(9):818-24.
Joveniaux P, Ohl X, Harisboure A, Berrichi A, Labatut L, Simon P, et al. Distal tibia fractures: management and complications of 101 cases. Int Orthop. 2009;34(4):583-8.
Willett KM, Pandit H, Upadhyay A. Internal versus external fixation for treating distal tibialpilon fractures in adults. Cochrane DB Syst Rev. 2008.
Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fractures and Dislocation Classification Compendium. J Orthop Trauma. 2018;32(1):105.
Rajasekaran S, Babu JN, Dheenadhayalan J, Shetty AP, Sundararajan SR, Kumar M, et al. A score for predicting salvage and outcome in Gustilo type-IIIA and type-IIIB open tibial fractures. J Bone Jt Surg Br. 2006;88(10):1351-60.
Yin B, Chen W, Zhang Q, Wang J, Su Y, Xu G, et al. Tibial fracture treated by minimally invasive plating using a novel low-cost, high-technique system. Int Orthop. 2012;36(8):1687-93.
Yang SW, Tzeng HM, Chou YJ, Teng HP, Liu HH, Wong CY. Treatment of distal tibial metaphyseal fractures: plating versus shortened intramedullary nailing. Injury. 2006;37(6):531-5.
Papakostidis C, Kanakaris NK, Pretel J, Faour O, Morell DJ, Giannoudis PV. Prevalence of complications of open tibial shaft fractures stratified as per the Gustilo-Anderson classification. Injury 2011;42:1408-15.
Kloen P. Supercutaneous plating: use of a locking compression plate as an external fixator. J Orthop Trauma. 2009;23(1):72-5.
Bukata V, DiGiovanni Benedict F, Tyler K. A Guide to Improving the Care of Patients With Fragility Fractures, Geriatr Orthop Surg. 2011;1(2):5-37.