Distal articular involvement in tibial shaft fractures: an evaluation of 125 consecutive cases.
Eur J Orthop Surg Traumatol
; 33(2): 335-340, 2023 Feb.
Article
em En
| MEDLINE
| ID: mdl-35066654
ABSTRACT
PURPOSE:
To report the incidence and morphology of ipsilateral distal articular involvement (DAI) in a consecutive series of tibial shaft fractures.METHOD:
A retrospective review was performed on 115 patients who underwent intramedullary nailing for tibia shaft fractures. Ankle evaluations included preoperative radiographs and computed tomography (CT) scans in all patients.RESULTS:
Thirty-two patients (27.8%) in our series presented with tibial shaft fractures associated with DAI. Tibial spiral fractures (42A1) were significantly related to DAI (RR 1788). In 28 (87.5%; 28/32) articular fractures, posterior malleolus fractures (PMF) were present; 22 were isolated, and six (18.8%) occurred in combination with medial malleolus or anterolateral fractures. The remaining (12.5%; 4/32) were isolated medial malleolus fractures. Ten (31.2%; 10/32) articular fractures were occult on the radiographs and only detected on CT scan.CONCLUSION:
DAI is common in tibial shaft fractures. CT evaluation is mandatory due to the high number of occult fractures. Although isolated PMF is the most frequent pattern of DAI involvement, 31.3% of the cases exhibited different patterns.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fraturas da Tíbia
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Fraturas Intra-Articulares
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Fraturas do Tornozelo
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Fixação Intramedular de Fraturas
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article