title: Treatment of Distal Lower Leg Fractures: Results with Fixed-Angle Plate Osteosynthesis.
abstract: Twenty-five patients with closed distal tibial fractures were treated with a fixed-angle (locked) plate osteosynthesis. The study period was from 1.1.06 to 31.12.07. According to AO classification, there were three A1, eight A2, nine A3, one B2, two C1, and two C3 fractures. All patients had a follow up examination after an average of 16.6 months. Complications included a technical mistake (fixation in slight malangulation), two infections, and one non union that showed consolidation after 15 months. All other patients reached bone consolidation and full weight bearing after an average of 3.5 months. The ankle range of motion for all patients was, on average, flexion/extension 18°/35°, without restrictions on the walking distance. No loss of reduction occurred. Fixed-angle plate osteosynthesis is a good alternative to intramedullary nailing when treating closed distal lower leg fractures. It is a demanding surgical method with good clinical and functional results.
authors.affiliation: Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Hamburg, Germany. m.faschingbauer@buk-hamburg.de.|Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany. m.faschingbauer@buk-hamburg.de.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Faschingbauer
authors.affiliation: Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Hamburg, Germany.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Kienast
authors.affiliation: Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Hamburg, Germany.|Department of Trauma and Orthopedics, University of Lübeck, Lübeck, Germany.
authors.forename: Arndt P
authors.initials: AP
authors.lastname: Schulz
authors.affiliation: Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Hamburg, Germany.
authors.forename: Rudolf
authors.initials: R
authors.lastname: Vukelic
authors.affiliation: Department of Traumatology, Orthopedics and Sports Medicine, BG Trauma Centre Hamburg, Hamburg, Germany.
authors.forename: Jan
authors.initials: J
authors.lastname: Meiners
keywords: Distal tibial fracture; Fixed-angle plate osteosynthesis; Minimally invasive procedure; Multi directional angle stability
references.citation: Foot Ankle Int. 2002 Sep;23(9):818-24
references.pmid: 12356179
references.citation: Int Orthop. 2004 Jun;28(3):159-62
references.pmid: 14968266
references.citation: Injury. 1997;28 Suppl 1:A42-7; discussion A47-8
references.pmid: 10897286
references.citation: J Orthop Trauma. 2008 May-Jun;22(5):307-11
references.pmid: 18448983
references.citation: J Orthop Trauma. 2007 Jul;21(6):355-61
references.pmid: 17620992
references.citation: Can J Surg. 2008 Feb;51(1):45-50
references.pmid: 18248705
references.citation: Arch Orthop Trauma Surg. 2007 Jul;127(5):349-53
references.pmid: 17333221
references.citation: Injury. 2004 Jun;35(6):608-14
references.pmid: 15135281
references.citation: Orthopedics. 2009 Mar;32(3):163
references.pmid: 19309066
references.citation: J Bone Joint Surg Am. 2003 Apr;85-A(4):604-8
references.pmid: 12672833
references.citation: Clin Orthop Relat Res. 2003 Mar;(408):286-91
references.pmid: 12616072
references.citation: J Orthop Trauma. 2006 Feb;20(2):94-103
references.pmid: 16462561
references.citation: Injury. 2006 Sep;37(9):877-87
references.pmid: 16895727
references.citation: Arch Orthop Trauma Surg. 2007 Sep;127(7):573-5
references.pmid: 17534635
references.citation: Int Orthop. 2007 Oct;31(5):709-14
references.pmid: 17160683
references.citation: J Orthop Trauma. 2002 Nov-Dec;16(10):691-5
references.pmid: 12439191
references.citation: J Orthop Trauma. 2006 Jan;20(1):76-9
references.pmid: 16424818
references.citation: Clin Orthop Relat Res. 2009 Mar;467(3):831-7
references.pmid: 18719970
references.citation: Injury. 2004 Jun;35(6):615-20
references.pmid: 15135282
references.citation: Int Orthop. 2008 Oct;32(5):697-703
references.pmid: 17572892
references.citation: Arch Orthop Trauma Surg. 2005 Mar;125(2):87-94
references.pmid: 15703920