title: [Manipulative reduction and internal fixation by percutaneous locking compression plate for the treatment of mid-distal tibiofibula shaft fractures].
abstract: OBJECTIVE
  To investigate the clinical effects of manipulative reduction and percutaneous locking compression plate internal fixation for the treatment of mid-distal tibiofibula shaft fractures.
  
  
  METHODS
  From January 2006 to October 2009,46 patients suffering from mid-distal tibiofibula shaft fractures were treated with closed manipulative reduction and LCP, involved 27 males and 19 females with an average age of 39 years old ranging from 17 to 56 years. According to AO classification, there were 12 cases of type A, 24 of type B, 10 of type C. The duration of visiting hospital were from 2 hours to 3 days after being injured for these patients. The injured limbs of the patients were swollen and painful,even with bony crepitus. The wound, function of the injured limb and union of fractures were observed after operation.
  
  
  RESULTS
  All the patients were followed up from 12 to 18 months (averaged 15 months). It was found that the wound of all patients had primary healing without any infection. The fracture healing time was 12 to 18 weeks (means 14 weeks). The results were excellent in 40 cases,good in 4 and fair in 2.
  
  
  CONCLUSIONS
  Less invasive, more stable fixation, shorter healing time and better functional rehabilitation are observed in the treatment of mid-distal tibiofibula shaft fractures after manipulative reduction and percutaneous locking compression plate internal fixation.
authors.affiliation: Department of the First Orthopaedics, Hongdou Traditional Chinese Medical Hospital, Nanchang 330008, Jiangxi, China. xiaoyibi2002@126.com
authors.forename: Yi-bei
authors.initials: YB
authors.lastname: Xiao
authors.forename: Dun-xiang
authors.initials: DX
authors.lastname: Hu
authors.forename: Qing-mei
authors.initials: QM
authors.lastname: Tang
authors.forename: Zheng-bo
authors.initials: ZB
authors.lastname: Xu
authors.forename: Quan-kun
authors.initials: QK
authors.lastname: Zhou
authors.forename: Ping-zheng
authors.initials: PZ
authors.lastname: Deng
authors.forename: Jun-fang
authors.initials: JF
authors.lastname: Guo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult