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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 1

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Acta Ortop Mex 2021; 35 (1)

Comparison of treatment with plates for distal tibia fractures

Marroquín-Herrera O, García-Balderas A, Ortega-Meza E, Aburto-González P, Rodríguez-Albístegui C, Olvera-Vásquez R

Language: Spanish
References: 25
Page: 40-45
PDF size: 162.24 Kb.


ABSTRACT

Introduction: Currently the surgical treatment of fractures of extraarticular distal tibia is controversial for the multiple techniques and materials of osteosynthesis, the Minimally Invasive Percutaneous Techniques (MIPO) allow us to preserve the periosteal circulation, crucial point in the natural processes of convalescence of the patient, so this technique takes relevance in our study. Objective: To observe that this approach to fractures of the distal tibia has fewer complications and better functional result than fixation with open technique. Material and methods: A longitudinal, ambispective and analytical study was conducted in the period from July 2018 to September 2019 in patients with closed fracture of the extraarticular distal tibia in patients over 18 years of age without previously diagnosed musculoskeletal comorbidities, the calculation was performed with the WinPEPI program (Programs for Epidemiologists for Windows) version 11.43 based on the study by Paul Toogooda et al (2018) with a confidence interval of 95% a minimum total of 20 patients for each group. Measures of central tendency, correlations between technique and variable were used. Results: Two groups of 20 patients were analyzed comparing MIPO vs conventional technique in a period of 6 months postsurgical evaluating risk of infection, wound dehiscence, radiographic bone consolidation, joint functionality and demographic data; showing positive statistical superiority for MIPO technique. Conclusion: Relevant data were obtained in favor of MIPO with bone consolidation and higher functional score at six months.


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EVIDENCE LEVEL

IV




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