[New stabilization techniques for fixation of proximal tibial fractures (LISS/LCP)].
In unstable proximal tibia fractures secondary dislocation due to insufficient buttressing is a well known complication leading to incongruency of the joint and axial deviation of the leg. Double plate osteosynthesis increases stability, however it is not very biological and may be accomplished by wound healing problems. New stabilization techniques such as LISS (Less Invasive Stabilization System) and LCP (Locked Compression Plate) provide angle stability and minimal invasiveness. Therefore stability of fixation is improved and wound-healing problems decrease. Today simple fractures are still fixed with conventional plates and screws, however more complex bicondylar fractures, particularly those with a metaphyseal comminution zone and/or severe soft tissue damage are fixed favorably by the new stabilization techniques.
Messmer
P
P
Klinik für Unfallchirurgie, Universitätsspital Zürich, Zürich. peter.messmer@usz.ch
Regazzoni
P
P
Gross
T
T
D000328:Adult; D001696:Biomechanical Phenomena; D001860:Bone Plates; D001863:Bone Screws; D016267:External Fixators; D005471:Fluoroscopy; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D017695:Soft Tissue Injuries; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome