Surgical Treatment for Distal Tibial Fracture

DOI 4 References
  • Moriwaki Shinjiro
    Department of Orthopaedic Surgery, Ehime Rosai Hospital, Ehime, Japan
  • Kido Kenji
    Department of Orthopaedic Surgery, Ehime Rosai Hospital, Ehime, Japan
  • Kunishi Yoshihiko
    Department of Orthopaedic Surgery, Ehime Rosai Hospital, Ehime, Japan
  • Ochi Yasuhiro
    Department of Orthopaedic Surgery, Ehime Rosai Hospital, Ehime, Japan
  • Takahashi Yohei
    Department of Orthopaedic Surgery, Ehime Rosai Hospital, Ehime, Japan

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  • 脛骨遠位端骨折の治療経験

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Description

We report the treatment for fracture of the distal tibial between September 2003 and March 2010. The subjects consisted of 23 male patients and 16 female patients, with an average age of 52.5 years old (range: 17 to 92). The fracture type (AO classification) was A (33 patients), B (three patients), and C (three patients). The surgical methods were intramedullary nail fixation in 29 patients and fixture by plate in 10 patients. Surgery took an average of 103.5 minutes with the intramedullary nail and an average of 116.5 minutes with plate fixture. Bleeding amount was average of 82 ml with the intramedullary nail and average of 123 ml with plate fixture. Pain relief took an average of 25 days to achieve with the intramedullary nail and 44.7 days with plate fixture. Postoperative complications included above knee amputation due to poor blood circulation, peroneal paralysis, pulmonary embolism, skin necrosis, postoperative infection, and pseudarthrosis (one patient each). Implant of the distal screw of the intramedullary nail may be difficult for some fractures, and plate fixture may be used instead. However, use of the cannulated screw should be considered to widen the applications of the intramedullary nail.

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