The role of fixation of the fibula in open fractures of the tibial shaft with fractures of the ipsilateral fibula: indications and outcomes.

作者: A M Whorton , M B Henley

DOI: 10.3928/0147-7447-19981001-09

关键词:

摘要: To determine the indications for fibular fixation in cases of combined fractures tibia and fibula effect on tibial healing, a retrospective study open shaft with concomitant was conducted at level one trauma center. Apparent included presence syndesmotic injury location fracture within distal third fibula. No significant differences were found healing rates, incidence nonunion malalignment, or number required subsequent procedures between patients who did not undergo stabilization. These results suggest that has no alignment. A randomized, prospective is needed to properly validate these findings.

参考文章(17)
C C Teitz, D R Carter, V H Frankel, Problems associated with tibial fractures with intact fibulae. The Journal of Bone & Joint Surgery. ,vol. 62, pp. 770- 776 ,(1980) , 10.2106/00004623-198062050-00011
Ramon B Gustilo, Robert P Gruninger, Tracy Davis, Classification of Type III (Severe) Open Fractures Relative to Treatment and Results Orthopedics. ,vol. 10, pp. 1781- 1788 ,(1987) , 10.3928/0147-7447-19871201-16
Köller W, Haas N, Hütter J, Gotzen L, [The importance of the fibula for stability in plate osteosynthesis of the tibia (author's transl)]. Unfallheilkunde. ,vol. 81, pp. 409- ,(1978)
Maurice E. Müller, Peter Koch, Serge Nazarian, Joseph Schatzker, The Comprehensive Classification of Fractures of Long Bones Springer Berlin Heidelberg. ,(1990) , 10.1007/978-3-642-61261-9
M W Chapman, J E Gordon, A G Zissimos, Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna. Journal of Bone and Joint Surgery, American Volume. ,vol. 71, pp. 159- 169 ,(1989) , 10.2106/00004623-198971020-00001
K. Harry Sørensen, Treatment of Delayed Union and Non-Union of the Tibia by Fibular Resection Acta Orthopaedica Scandinavica. ,vol. 40, pp. 92- 104 ,(1969) , 10.3109/17453676908989489
JAMES C. H. GOH, ENG HIN, ENG JOO, PHILIPPE BAYON, ROBERT W. H. PHO, Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clinical Orthopaedics and Related Research. pp. 223- 228 ,(1992) , 10.1097/00003086-199206000-00028
Torben Ejsing Jørgensen, The influence of the intact fibula on the compression of a tibial fracture or pseudoarthrosis. Acta Orthopaedica Scandinavica. ,vol. 45, pp. 119- 129 ,(1974) , 10.3109/17453677408989130
EDWARD A. RANKIN, CHARLES W. METZ, Management of delayed union in early weight-bearing treatment of the fractured tibia. Journal of Trauma-injury Infection and Critical Care. ,vol. 10, pp. 751- 759 ,(1970) , 10.1097/00005373-197009000-00005
WUN-JER SHEN, YOUNG-SHUNG SHEN, Fibular nonunion after fixation of the tibia in lower leg fractures. Clinical Orthopaedics and Related Research. pp. 231- 232 ,(1993) , 10.1097/00003086-199302000-00036