title: [Treatment of supramalleolar open fractures by means of centro-medullary osteosynthesis of the fibula].
abstract: The study is concerned with 11 cases of open supra-malleolar fractures involving both bones. The tibial fracture was of the comminutive type, with a large number of small fragments allowing an exteriorization of the proximal end or telescoping of the ends with consecutive loss of the axis. Due to a difficult synthesis of the tibial bone synthesis of the peroneum with a thick rod or with a brooch was performed, recovering the length of the lever and allowing to de-telescope the tibial focus, to recover the normal length and a corresponding axis. Since in all the treated cases consolidation was achieved over a duration of 5 months, the advantage is stressed, of the procedure which, solving indirectly the fracture, protects the tibial focus, already poorly irrigated and susceptible to pseudarthrosis in thi;s type of location.
mesh_terms: D005360:Fibula / Q000293:injuries*; D005594:Fracture Fixation, Intramedullary; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D013978:Tibial Fractures / Q000601:surgery*
vernacular_title: Tratamentul fracturilor deschise supramaleolare prin osteosinteza centromedulară a peroneului.