![]() ![]() Importantly, at their last follow-up visit, the fracture was in excellent position and healed radiographically, and the patient could walk without pain and support.ĬONCLUSIONS: One-incision double-plating is a safe and effective alternative for treatment of distal tibia and fibula fractures. There were no cases of malunion or non-union. Only one patient with delayed union healed without surgical intervention by 7 months postoperatively. RESULTS: Postoperative follow-up showed that 24 fractures healed within the range of the normal healing time. All patients were followed-up at least until the patient was fully weight-bearing and the soft tissues had healed (median, 15 months range, 12-24). The type of fractures based on AO classification were A1 (n = 6), A2 (n = 4), B1 (n = 12) and C1 (n = 3). A severely broken ankle may require surgery to implant plates, rods or screws into the broken bone to maintain proper position during healing. ![]() The reduction and fixation of the tibia and fibula were conducted in all patients using one incision. Treatment for a broken ankle depends on the exact site and severity of the bone fracture. PATIENTS AND METHODS: Twenty-five patients with fractures of the distal third of the tibia-fibula, were treated with one incision, double plating between June 2007 and January 2009. To decrease and prevent aforementioned serious complications, one-incision double-plating technique was advocated here.ĪIM: The aim of this work was to evaluate the results and effects of the one-incision, double-plating technique in the fractures of distal third of the tibia-fibula and fibula. BACKGROUND: The treatment of fractures of the distal third of the tibia and fibula usually involves two incisions, thus raising the risk of wound dehiscence, wound necrosis, infection, and the delayed union or non-union of distal tibial fractures. ![]()
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