Tibial Shaft Fractures: The Frequency of Local Complications in Tibial Shaft Fractures Treated by Internal Compression Osteosynthesis
Ninety-two tibial shaft fractures in 90 patients over the age of 15 were treated by compression osteosynthesis according to the AO method, but using plates and screws of Vitallium®. Fifteen fractures (14 patients) were excluded, because the follow-up period was less than 12 months. The frequency of...
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Published in | Acta orthopaedica Vol. 50; no. 5; pp. 593 - 598 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
England
Informa UK Ltd
01.01.1979
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Subjects | |
Online Access | Get full text |
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Summary: | Ninety-two tibial shaft fractures in 90 patients over the age of 15 were treated by compression osteosynthesis according to the AO method, but using plates and screws of Vitallium®. Fifteen fractures (14 patients) were excluded, because the follow-up period was less than 12 months. The frequency of complications in the remaining 77 fractures, 44 per cent comminuted and 30 per cent open fractures, were: skin necrosis over the osteosynthesis material: 5.2 per cent, osteitis: 1.3 per cent, delayed osseous healing necessitating secondary operation: 2.6 per cent, loosened screw (not requiring secondary operation): 5.2 per cent, loosened screw+ refracture: 1.3 per cent, plate bending: 1.3 per cent, plate fractured: 1.3 per cent, and refracture after removal of the plate (new relevant traumas): 4.8 per cent. In this series there was a markedly high frequency of complications in comminuted fractures with laceration of skin and muscles, whereas an increased tendency for complications to develop in the remaining injury groups was not seen. |
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ISSN: | 1745-3674 0001-6470 1745-3682 |
DOI: | 10.3109/17453677908989809 |