Fractures of the proximal quarter of the tibia treated by external fixator

Ben Jemaa, Mohamed; Sellami, Sami; Ghorbel, Mohamed

ISBN 10: 6205898802 / ISBN 13: 9786205898802

Published by Our Knowledge Publishing, 2023

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Bibliographic Details

• Title: Fractures of the proximal quarter of the tibia treated by external fixator
• Publisher: Our Knowledge Publishing
• Publication Date: 2023
• Language: English
• ISBN 10: 6205898802
• ISBN 13: 9786205898802
• Binding: Soft cover
• Condition: New

About this title

Synopsis

Fractures of the proximal quarter of the tibia present a particular lesion entity likely to raise many therapeutic difficulties because of the vascular and cutaneous complications frequently found and the comminuted nature of the fracture making internal osteosynthesis difficult and a source of complications. All these considerations have led several surgeons to treat these fractures by external fixation. We present a retrospective study of 32 patients with fractures of the proximal quarter of the tibia operated on by external fixation with a minimum follow-up of 12 months. Three types of external fixator were used: the hybrid external fixator (11 cases), the Orthofix external fixator (13 cases) and the Hoffmann external fixator (8 cases).The Lysholm score was used for functional evaluation and we obtained a mean value of 92.63. Exo-fixation is the least invasive and most convenient technique, especially if there are associated integumentary lesions that do not allow internal osteosynthesis.