DOES FIBULAR FIXATION AFFECT THE TREATMENT OUTCOME OF DISTAL THIRD TIBIAL SHAFT FRACTURES?
Authors:
P. Dráč
Authors‘ workplace:
Department of Traumatology, University Hospital Olomouc
; Traumatologické oddělení FN Olomouc
Published in:
Úraz chir. 13., 2005, č.2
Overview
The purpose of this study was to evaluate the effect of fibular osteosynthesis on the outcome of distal third tibial shaft fracture treatment using unreamed tibial nail. 41 patients meeting the entry criteria were reexamined, with an average followup period of 58,6 months. Osteosynthesis of fibula had been performed on 18 of these 41 patients during primary surgery. Increased angulation was significantly smaller (p= 0,023) in the group of patients with stabilised fibula. There were also fewer delayed unions and better fun ctional outcome in comparison with patients without osteosynthesis of distal fibula. In contrast to more proximal fractures, fibular osteosynthesis is indicated in the treatment of distal third tibial shaft fractures and should be performed before intramedullary nailing of the tibia.
Key words:
distal third tibial fractures, osteosynthesis of fibula, intramedullary nailing of tibia, UTN.
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