title: [Secondary management of tibial fractures with plate osteosynthesis--applications of an old, but reliable procedure].
abstract: During the time period from May 1990 through October 1992, a total of 70 tibia fractures were treated in the Department of Traumatology of the University of Bonn. 35 patients with 37 tibial fractures were treated according to a regimen including primary stabilization, usually in an external fixateur, soft tissue reconstruction and delayed open reduction and internal fixation using an AO-plate. A majority of the patients were involved in motor vehicle accidents leading to multiple injuries in 22 instances. An open fracture was seen 16 times. The complication rate of 19% is comparable to the reports following intramedullary stabilisation. Only one infection, following a grade 2 open fracture, was seen. Bony union was achieved after 15.7 weeks. Considering the complications associated with nailing such as fat or air embolism, heterotopic ossification and non- or malunions, the use of the tibial plate seems not only to offer logistic advantages but is a viable alternative for the delayed stabilization of tibial fractures.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Universität Bonn.
authors.forename: C H
authors.initials: CH
authors.lastname: Siebert
authors.forename: F
authors.initials: F
authors.lastname: Rinke
authors.forename: K P
authors.initials: KP
authors.lastname: Lehrbass-Sökeland
authors.forename: M
authors.initials: M
authors.lastname: Hansis
mesh_terms: D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Sekundäre Versorgung von Tibiafrakturen mittels Plattenosteosynthese--Einsatzmöglichkeiten für ein altes, aber bewährtes Verfahren.