การรักษากระดูก Tibia ส่วนปลายหักโดยการยึดตรึงด้วย Plate ดัดแปลง (Modified Angle-Blade Plate)

บทคัดย่อ

          The advantage of surgical treatment in distal tibial metaphyseal fracture were stable fixation and early motion of ankle joint. The very short segment of fracture site caused a problem of instrumentation. The Modified Angle Plate was developed by Nakhonpathom Orthopedics team to correct the problem of fixation.

          Material and methods: Eleven patients were reviewed retrospectively with distal tibial metaphyseal fractures treated with open reduction and fixation with a Modified Angle Plate. The mean age was 34 years. All fractures were type 43A by AO classification. Five patients were open fractures.

          Results:  At the final follow-up mean 13.5 months, all fractures were healed, and the mean union time was 15.8 weeks. The mean operative time was 52 minute. The mean estimate blood loss was 90 ml. The fractures all healed within acceptable limits of alignment. Two fractures had superficial wound cellulites. The range motion of ankle joint and clinical was good result.

          Conclusion: The Modified Angle Plate was one of a good options for surgery in distal tibial metaphyseal fracture. The procedure was less operative time, less blood loss, less cost and achieves good results.