Martínez OA, Mafara FG, Rodríguez RS, Martínez FL

Language: Spanish
References: 15
Page: 15-19
PDF size: 147.15 Kb.

ABSTRACT

Objective. To describe the immediate management of distal tibial fractures as well as the complications of soft and bony tissues. Material and methods. Prospective review of 45 patients with distal tibial fractures during an 8-month period (August 1^st 2005 to March 31^st 2006). They were classified according to Rüedi and Allgöwer. Seventy-one percent were managed with transcalcaneal skeletal traction and 28% with Jones bandage. The neovascular status of the affected anatomical segment was reviewed and analyzed before and after the surgical procedure. Results. Type II distal fractures were the most frequent ones, with the left size and the male gender as predominant. Skeletal traction was used in 32 patients (71%); osteosynthesis was performed in all cases. Conclusions. When compared with Jones bandage, transcalcaneal skeletal traction improved the clinical conditions of the distal segment of the leg before and after the surgical procedure.

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