SciELO - Scientific Electronic Library Online

 
vol.35 número1Cirugía de revisión femoral con vástagos monobloque de recubrimiento completo. Resultados a largo plazo de 78 casosComplicaciones en la artroscopía posterior de tobillo por portales clásicos y sin distracción índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Acta ortopédica mexicana

versión impresa ISSN 2306-4102

Resumen

MARROQUIN-HERRERA, O et al. Comparison of treatment with plates for distal tibia fractures. Acta ortop. mex [online]. 2021, vol.35, n.1, pp.40-45.  Epub 17-Ene-2022. ISSN 2306-4102.

Introduction:

Currently the surgical treatment of fractures of extraarticular distal tibia is controversial for the multiple techniques and materials of osteosynthesis, the Minimally Invasive Percutaneous Techniques (MIPO) allow us to preserve the periosteal circulation, crucial point in the natural processes of convalescence of the patient, so this technique takes relevance in our study.

Objective:

To observe that this approach to fractures of the distal tibia has fewer complications and better functional result than fixation with open technique.

Material and methods:

A longitudinal, ambispective and analytical study was conducted in the period from July 2018 to September 2019 in patients with closed fracture of the extraarticular distal tibia in patients over 18 years of age without previously diagnosed musculoskeletal comorbidities, the calculation was performed with the WinPEPI program (Programs for Epidemiologists for Windows) version 11.43 based on the study by Paul Toogooda et al (2018) with a confidence interval of 95% a minimum total of 20 patients for each group. Measures of central tendency, correlations between technique and variable were used.

Results:

Two groups of 20 patients were analyzed comparing MIPO vs conventional technique in a period of 6 months postsurgical evaluating risk of infection, wound dehiscence, radiographic bone consolidation, joint functionality and demographic data; showing positive statistical superiority for MIPO technique.

Conclusion:

Relevant data were obtained in favor of MIPO with bone consolidation and higher functional score at six months.

Palabras llave : Tibia; technique; minimally invasive percutaneous; conventional; perióstica circulation.

        · resumen en Español     · texto en Español     · Español ( pdf )