The clinical analysis of the treatment with posterolateral approach for distal tibia and fibula open fractures
WANG Xin-liang
HOU Zhi-qi
YU Cun-tai
QIN Jian
KUANG Jiong-xiang
Abstract：Objective To observe the effect of posterolateral approach for treatment of distal tibia and fibula open fracture.Methods Twenty-eight patients with 28 fracture sites were enrolled.All fractures were treated with debridement and temporarily fixation at first phase.with an internat fixation through posterolateral approach at second phase.Results Twenty-eight cases were followed up from 12 to 41 months.All fractures healed well.The average union time was 25.4 weeks without deeD infection occurred.Meanwhile ankle function recovered well.One patient has drop foot due to badly injured extensor tendon,and he had achilles tendon lengthening and tendon transposition surgery 6 months later,followd by fusion of tibiotalar joint due to traumatic arthritis after 2 years.According to American Orthopaedic Foot & Ankle Society (AOFAS) scoring system,15 cases had excellent scores,9 were good,3 were fair and 1 was bad,and the overall percentage of excellent and good scores was 85.7%.Conclusion The second stage open reduction and internal fixation through posterolateral approach for distal tibia and fibula open fractures is an effective therapy.Posterolateral approach affiliates stable fixation and ankle function recovery,with less wound tissue complications.
Keywords：TibiaFibulaOpen fracturePosterolateral approach
Publication Date：2008-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 295-296 )