title: Fractures of the distal tibia treated with polyaxial locking plating.
abstract: We evaluated the healing rate, complications, and functional outcomes in 32 adult patients with very short metaphyseal fragments in fractures of the distal tibia treated with a polyaxial locking system. The average distance from the distal extent of the fracture to the tibial plafond was 11 mm. All fractures healed and the average time to union was 14 weeks. Six patients (19%) reported occasional local disturbance over the medial malleolus. There were two cases of postoperative superficial infections and evidence of delayed wound healing. Using the American Orthopaedic Foot and Ankle Society ankle score, the average functional score was 87.3 points (of 100 total possible points). Our results show the polyaxial locking plates, which offer more fixation versatility, may be a reasonable treatment option for distal tibia fractures with very short metaphyseal segments.
authors: Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Jiaotong University, 600 Yishan Road, Shanghai, 200233, People's Republic of China. honggao630@yahoo.com.cn
authors: Hong
authors: H
authors: Gao
authors: Chang-Qing
authors: CQ
authors: Zhang
authors: Cong-Feng
authors: CF
authors: Luo
authors: Zu-Bin
authors: ZB
authors: Zhou
authors: Bing-Fang
authors: BF
authors: Zeng
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000503:physiopathology; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013530:Surgical Wound Infection / Q000209:etiology; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult