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摘要:
Background: Supracutaneous plating using a locking compression plate (LCP) as an external fixator in compound periarticular areas is facilitated by the development of anatomical plates. The soft tissue around the distal tibia is easily compromised by trauma and subsequent operative fracture treatment posing a definitive challenge in the distal tibia compound fractures. The purpose of this report is to describe our successful results using the metaphyseal locking compression plate (LCP) as an external fixator in the treatment of Grade I & II compound fractures of distal tibia. Methodology: A total of five (05) patients underwent “supracutaneous plating” of the tibia using a metaphyseal locking compression plate. Average age was 36 years. Regular screw tract dressings were done. Average period of follow-up was 15 months. Results: The plate was in situ for an average of 24 weeks. There were no clinically significant screw site infections. In all five patients the plate was kept in place until there was complete consolidation both clinically and radiologically. At the latest follow-up (average 15 months), all patients were fully weight bearing with a fully healed tibia. All patients were infection-free with well-healed wounds. Conclusion: Routinely, after initial debridement and temporary bony stabilization is provided by external fixation in compound fractures of the distal tibia with significant soft tissue injury. Most external frames for the lower leg are bulky and cumbersome, causing significant problems for the patient. To circumvent these issues, we have successfully used an anatomically-contoured supracutaneous metaphyseal locking compression plate as external fixator in a series of five patients for grade I & II compound fracture of the distal tibia.
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应用三柱理论治疗尺桡骨远端骨折
三柱
LCP-DRP
桡骨远端骨折
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篇名 Supracutaneous Locking Compression Plate for Grade I &II Compound Fracture Distal Tibia—A Case Series
来源期刊 矫形学期刊(英文) 学科 医学
关键词 LOCKING Compression Plate COMPOUND TIBIAL FRACTURES External FIXATION of LCP
年,卷(期) 2013,(2) 所属期刊栏目
研究方向 页码范围 106-109
页数 4页 分类号 R6
字数 语种
DOI
五维指标
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节点文献
LOCKING
Compression
Plate
COMPOUND
TIBIAL
FRACTURES
External
FIXATION
of
LCP
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
矫形学期刊(英文)
月刊
2164-3008
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
366
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0
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