![]() The management of complex, distal tibial fractures represents a challenge for orthopedic surgeons and their treatment is the subject of active debate. El menor tiempo desde el traumatismo hasta la intervención en este grupo mejora la evolución de partes blandas, siendo significativo en el resultado final. La osteosíntesis percutánea con tornillos canulados supone una alternativa adecuada para el manejo de fracturas tibiales sin gran componente articular con mejores resultados que la síntesis con placas. Se registraron 4 infecciones superficiales y una rotura de material en G1. Ausencia de casos con deformidad axial y acortamientos. En G1 el 61,4% (8) de los resultados fueron excelentes o buenos, mientras que en G2 lo fueron el 76% (13). La valoración media según la AOFAS fue de 78,62 en G1 (22-93) y 90,63 en G2 (70-100), siendo esta diferencia estadísticamente significativa. Los resultados se evaluaron según la escala AOFAS, radiografías simples y complicaciones durante el seguimiento. Tiempo medio hasta consolidación: 17,08 semanas (8-48) en G1 y 14,56 semanas (8-24) en G2. La media de seguimiento fue de 72 meses (12-132). El tiempo medio hasta cirugía fue de 8,31 días (0-14) en G1 y de 2 días (0-7) en G2. Se evaluaron 33 pacientes: 16 casos fueron sintetizados con placa bloqueada (G1) y 17 con tornillos canulados (G2). Criterios de inclusión: fracturas 43-A y 43-C1 y C2 según la clasificación AO, tratadas con osteosíntesis percutánea mediante placa bloqueada o 2 tornillos canulados en aspa. Material y métodoĮstudio retrospectivo de 107 pacientes intervenidos entre 2001 y 2012. The shortest time from injury to intervention in this group improves the progress of the soft tissues, and can improve the final result.Īnalizar los resultados del tratamiento de las fracturas de tibia distal con o sin afectación intraarticular, tratadas con osteosíntesis percutánea mediante placas o tornillos canulados. The percutaneous cannulated screw fixation is a suitable alternative for the management of fractures without significant joint involvement, and seems to offer better functional results than plates. There were four superficial infections and one broken device recorded in G1. There were no axial deformity cases or shortenings. In G1, 61.4% (8) of the results were excellent or good, while in G2 it was 76% (13). The mean evaluation according to the AOFAS score was 78.62 in G1 (22–93), and 90.63 in G2 (70–100), and this was statistically significant. The results were evaluated according to the AOFAS scale, with plain X-rays, and complications during follow-up. The mean follow-up was 72 months (12–132). Mean time to surgery was 8.31 days (0–14) in G1, and 2 days (0–7) in G2. A total of 33 patients were evaluated: 16 tibial fractures were performed with locking plate (G1) and 17 with cannulated screws (G2). Inclusion criteria: fractures 43-A and 43-C1 and C2 according to the AO/OTA system, treated with percutaneous osteosynthesis by locking plate or two cannulated screws in X-letter setting. Materials and methodsĪ retrospective study was conducted on 107 patients treated between 20. To analyze the outcomes of distal tibia fractures with or without extension into the ankle joint, treated by percutaneous cannulated screws or locking plates. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS. All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. ![]() In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim the publication of the best original research articles in Spanish. The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty.
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