Modified Posteromedial Approach for Distal Tibia Fracture Fixation

سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 161

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شناسه ملی سند علمی:

JR_TRAUM-27-6_005

تاریخ نمایه سازی: 2 مرداد 1402

چکیده مقاله:

Background: This study aimed to compare a new posteromedial approach with a conventional anteromedial approach to treat extra-articular distal tibia fractures.Method: Thirty-two patients underwent distal tibia fracture surgery. The patients were divided into two groups (anteromedial: n=۱۷ and posteromedial: n=۱۵) and followed for one year. Approaches were compared regarding their union time, American Orthopedics Foot and Ankle Society (AOFAS) score, and complications.Results: AOFAS score was ۸۷.۳ ± ۳.۱ and ۸۸.۵ ± ۲.۸ in anteromedial and posteromedial groups, respectively, and there was no statistically significant difference (P-value = ۰.۲۸۲). The union time was ۶.۱ ± ۳.۸ months and ۶.۴ ± ۳.۱ months in the groups, which was not statistically significant (P-value = ۰.۸۰۷). The prevalence of non-union and delayed union was not significantly different between the two groups (p-value = ۰.۹۹).Conclusion: The modified posteromedial approach is a safe and feasible alternative surgical method for distal tibia extra-articular fractures.

نویسندگان

Mohammad Ali Okhovatpour

Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Amin Karimi

Assistant Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mehrdad Sadighi

Assistant Professor, Department of Orthopedics, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Reza Zandi

Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Adel Ebrahimpour

Professor, Orthopedic Surgery Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mohammadreza Minator Sajjadi

Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Seyed-Hadi Masjed-Mousavi

Shahid Beheshti University of medical sciences, Tehran, Iran.