Garnica MEC, Garnica MM, Vives AHL, Muciño MMR, Rosas CJL, Bello GA

Language: Spanish
References: 18
Page: 115-120
PDF size: 150.78 Kb.

ABSTRACT

Objective: To show which of the 2 methods is more effective and involves less complications when distal tibial fractures are treated with 4.5 mm plates with a minimally-invasive method. Material and methods: This is a comparative study of 35 patients with tibial fractures treated at the Orthopedics Service, Mexican Red Cross, Polanco, from January 1^st to December 31^st, 2003. The technique involved using 4.5 mm stainless steel plates, placed on the lateral versus the medial side, with a minimally-invasive technique. Follow-up was 12 months; patients’ course and complications were assessed. Results: The fracture line was located at the distal metaphysis in 78% of patients; 62.8% had associated head trauma; 40% of patients had bone exposure, 34.2% had a medial wound and 5.71% in the posteromedial side. Five patients (14%) had superficial infection of the surgical wound (zone of exposure), 4 on the medial side and one on the lateral side (the patient with compartmental syndrome upon admission). Three of the patients (15%) had exposure of the material, all of them with a medial plate. No difference in the healing rate was found between both methods. Conclusions: Fewer complications were reported in patients with a minimally-invasive procedure with a lateral plate than in those with a medial plate, with a lower risk of exposure of the material.

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