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Distal Tibia Fractures

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Fracture Reduction and Fixation Techniques

Abstract

Distal tibia fractures can be challenging to treat. The treatment of these injuries has considerably changed in recent years, as the understanding of the importance of the soft tissue envelope has improved. More attention is thus given to protect and resuscitate the surrounding soft tissues, in addition to providing a stable anatomical reduction.

In this chapter we present some of the most common concepts for the reconstruction of distal tibia fractures. These include extra-articular, partial articular, and articular fractures. The preoperative planning, reduction maneuvers, choice of reduction instruments and implant utilized, surgical approaches, and tips and tricks to avoid pitfalls of fixing these challenging fractures are also discussed.

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References

  1. Fracture and Dislocation Compendium—2018. A joint collaboration between the Orthopaedic Trauma Association and the AO Foundation. J Orthop Trauma. 2018;32(Suppl 1):S55–60.

    Google Scholar 

  2. Wennergren D, Bergdahl C, Ekelund J, Juto H, Sundfeldt M, Möller M. Epidemiology and incidence of tibia fractures in the Swedish Fracture Register. Injury. 2018;49(11):2068–74.

    Article  Google Scholar 

  3. Bear J, Rollick N, Helfet D. Evolution in management of tibial pilon fractures. Curr Rev Musculoskelet Med. 2018;11(4):537–45.

    Article  Google Scholar 

  4. Torino D, Mehta S. Fibular fixation in distal tibia fractures: reduction aid or nonunion generator? J Orthop Trauma. 2016;30:S22–5.

    Article  Google Scholar 

  5. Liu J, Smith CD, White E, Ebraheim NA. A systematic review of the role of surgical approaches on the outcomes of the tibia pilon fracture. Foot Ankle Spec. 2016;9(2):163–8.

    Article  Google Scholar 

  6. Hoogendoorn JM. Posterior malleolar open reduction ans internal fixation through a posterolateral approach for trimalleolar fractures. JBJS Essent Surg Tech. 2017;7(4):e31.

    Google Scholar 

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Vun, J.S.H., Panteli, M., Giannoudis, P.V. (2020). Distal Tibia Fractures. In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-030-24608-2_28

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  • DOI: https://doi.org/10.1007/978-3-030-24608-2_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24607-5

  • Online ISBN: 978-3-030-24608-2

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