External fixation of locking plate for the treatment of tibial fractures
CHEN Wen-yao
QUE Xiang-yong
LI Yi
LUO Qing-lin
LI Xin-zhi
Abstract：Objective To observe the effect of external locking plate fixation in treating tibial fracture. Methods A total of 6 cases of tibial fracture aged 17 to 55 (average, 34) years were treated with external locking plate from Jan.2015 to Jun.2016.Five of them were male, and one was female, including open fractures in 3 cases, closed fracture with popliteal artery injury in 1 case, and closed fracture combined with compartment syndrome in 2 cases.The operation situation, postoperative incision closure, complications and fracture healing time were observed. Results Of the three open fractures, 2 cases underwent emergency debridement under general anesthesia with reduction of fracture and Kirschner wire fixation.One case of middle fracture was fixed with locking plate and another was fixed with distal anatomical locking plate.Two cases of compartment syndrome with fractures in the distal and proximal part, respectively, were decompressed within 6 h after admission.One case of closed fracture with popliteal artery injury associated with injuries of femur, spleen and pancreas and rib fracture with pneumohemothorax was performed damage control surgery.All cases received follow-up with an average of 10 months (6-12 months).All cases got bony healing, with an average healing time of 6 (3-11) months.There was superficial infection in 2 cases, who received wound healing after treatment.None of the cases had complications such as iatrogenic neurovascular injury, deep infection or graft rupture. Conclusion External locking plate fixation of tibial fracture can be one of the selections for treating tibial fracture with bad soft tissue condition.
Keywords：tibial fracturelocking plateexternal fixationinfection
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 587-589 )